Stephanie Lestino

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT36904 Issued in CA

Practice address

5648 Lake Murray Blvd
La Mesa, CA 91942-1929

Phone

(619) 464-1352

Fax

(619) 464-7255

NPI assigned

Jan 30, 2011

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

Other names 1

• Stephanie Sun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073819611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Del Mar Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052552",
            "country_code": "US",
            "telephone_number": "626-564-2700",
            "fax_number": "626-564-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Del Mar Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052552",
            "country_code": "US",
            "telephone_number": "626-564-2700",
            "fax_number": "626-564-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTINO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT36904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SUN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Francis Leonard, M.D.
• Dana Christine Leonardi, M.A.,CCC-SLP
• Melina Leone, FNP-BC
• Patrick Leslie, LMFT
• Joseph A Lestino
• Letsgrow
• Letitia T Leung
• Megan Levay, PHARMD
• Douglas I Levey, M.D.
• Jane Levin

• Pediatric Physical Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.