Stacy Brooke Stern, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301381 Issued in CA

Practice address

5757 Wilshire Blvd Ste 460
Los Angeles, CA 90036-3658

Phone

(323) 634-0221

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Pulse Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Venice, CA
  • NPI 1518664010
  Medicare reassignment NPD Authorized official
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Marina del Rey, CA
  • NPI 1043894090

  Physical Therapist

  Medicare reassignment NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1275220246
  NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1558945675
  NPD
• Yonemoto Physical Therapy Services Inc.

  • Physical Therapist
  • Alhambra, CA
  • NPI 1285711309
  NPD
• Sean Pakdaman PHD a Professional Psychology Inc

  • Clinical Psychologist
  • Encino, CA
  • NPI 1114124286
  NPD (past)
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1386228302

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1073274429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S SPAULDING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193845",
            "telephone_number": "312-810-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363658",
            "telephone_number": "323-634-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "STACY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Martin Stern, MD
• Lisa Ann Stern, MFT
• Mitchell Stern
• Rachel Stern
• Scott Charles Stern
• Stephanie Stern
• Harvey Allen Sternbach, MD
• Adam W Sternberg, PSYD
• Jennifer Lynn Sternberg, MD
• Erin Lynn Sternhagen, MD

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.