Active NPI
Stephanie Nava, DPT
- Physical Therapist
- Huntington Park, CA
National Provider Identifier
1083314397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT302714
- Practice address
- 6601 Rugby Ave Ste 401
Huntington Park, CA 90255-4047 - Phone
- (323) 589-5000
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT302714 | CA | Primary |
Addresses
Primary practice location
6601 Rugby Ave Ste 401
Huntington Park, CA 90255-4047
Mailing address
6601 Rugby Ave Ste 401
Huntington Park, CA 90255-4047
Phone (323) 589-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT302714 | Other | CA | PHYSICAL THERAPIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT302714 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1083314397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 RUGBY AVE STE 401",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554047",
"telephone_number": "323-589-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 RUGBY AVE STE 401",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554047",
"telephone_number": "323-589-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVA",
"first_name": "STEPHANIE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT302714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT302714",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.