Individual provider Active NPI

Stephanie Lynne Distasi, MPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1023073434
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20928 Issued in DC
Practice address
1112 16TH St NW
Suite 200
Washington, DC 20036-4823
Phone
(202) 223-1737
Fax
(202) 223-1738
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20928 DC Primary

Addresses

Primary practice location

1112 16TH St NW
Suite 200
Washington, DC 20036-4823

Mailing address

930 M St NW
Apt 616
Washington, DC 20001-4365
Phone (202) 494-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20928DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Therapy and Rehabilitation,Inc Physical Therapist PastSince Mar 2, 2009 Accepting new patients
Sports Therapy and Rehabilitation LLC Physical Therapist PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023073434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 M ST NW",
            "address_2": "APT 616",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014365",
            "telephone_number": "202-494-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 16TH ST NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364823",
            "telephone_number": "202-223-1737",
            "fax_number": "202-223-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTASI",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "20928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.