Individual provider Active NPI

Debra Steward, PT

  • Physical Therapist
  • Santa Fe Spring, CA
National Provider Identifier
1073606448
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21632 Issued in CA
Practice address
11627 Telegraph Rd
Suite 105
Santa Fe Spring, CA 90670
Phone
(562) 948-4004
Fax
(562) 948-4845
NPI assigned
Sep 30, 2006
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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 PT21632 CA Primary

Addresses

Primary practice location

11627 Telegraph Rd
Suite 105
Santa Fe Spring, CA 90670

Mailing address

1809 E Dyer Rd
Suite 313
Santa Ana, CA 92705-5740
Phone (949) 975-1900

Other identifiers 1

IdentifierTypeStateIssuer
WPT21632AOtherPPIN

Other names 1

  • Debra Hogan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105001137 CA Practitioner - Physical Therapist in Private Practice 4880642941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Los Gatos, CA 95032
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Total Body Physical Therapy, P.C. Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Reekstin Enterprises Inc. Physical Therapist CurrentSince May 20, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Oct 2, 2019 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Oct 2, 2019 Accepting new patients

Locations

120 S Chaparral Ct
Ste 150
Anaheim, CA 92808
Phone (714) 998-9580

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

1027 N Harbor Blvd
Ste B
Fullerton, CA 92832
Phone (714) 870-8478

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

41278 Margarita Rd
Ste 102
Temecula, CA 92591
Phone (951) 587-8105

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1073606448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E DYER RD",
            "address_2": "SUITE 313",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055740",
            "telephone_number": "949-975-1900",
            "fax_number": "949-975-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11627 TELEGRAPH RD",
            "address_2": "SUITE 105",
            "city": "SANTA FE SPRING",
            "state": "CA",
            "postal_code": "90670",
            "telephone_number": "562-948-4004",
            "fax_number": "562-948-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "DEBRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT21632A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "HOGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe Spring, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.