JONATHAN DOUGLAS STODDARD (PT) – Physical Therapist, NPI 1124116546

JONATHAN DOUGLAS STODDARD (PT) is a healthcare provider. based in Fort worth, Texas. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 1161585 (TX). The NPI Number for JONATHAN DOUGLAS STODDARD (PT) is 1124116546

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN DOUGLAS STODDARD (PT)
NPI
1124116546
Phone
(817) 514-9127
Address
5541 MURTON PL
Enumeration Date
11 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172839435
Graduation Year
2005 (21 years ago)
PAC ID
3274561030
Group Practice PAC ID
8729038021
Professional Enrollment ID
I20050802000750
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JONATHAN DOUGLAS STODDARD (PT)

  • 5541, Murton Place, Fort Worth, Tarrant County, Texas, 76137, United States

    FORT WORTH, TX 761373763

    Phone: (817) 514-9127

    Type: Mailing

  • Bedford Road, Harpur, Bedford, East of England, England, MK41 6EJ, United Kingdom

    BEDFORD, TX 760215707

    Phone: (817) 283-9435

    Fax: (817) 571-4198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050802000750IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities961231$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes849140$0
97140Therapy procedure using manual technique, each 15 minutes705200$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes692212$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care502149$0
View full utilization report →

Insurance plans in this area (ZIP 76137)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729038021View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JONATHAN DOUGLAS STODDARD (PT)?
Save NPI 1124116546 if you need a stable reference for JONATHAN DOUGLAS STODDARD (PT).
Is JONATHAN DOUGLAS STODDARD (PT) currently active in the NPI registry?
CMS-published data lists JONATHAN DOUGLAS STODDARD (PT) as an active registrant.
What does JONATHAN DOUGLAS STODDARD (PT) treat or focus on?
Patients typically see JONATHAN DOUGLAS STODDARD (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JONATHAN DOUGLAS STODDARD (PT) practice in Texas?
You will see Fort Worth, Texas on file for JONATHAN DOUGLAS STODDARD (PT) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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