Individual provider Active NPI

Alexandra Stapp, DPT

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1144912700
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
90 E Thousand Oaks Blvd Ste 200
Thousand Oaks, CA 91360-5761
Phone
(805) 497-9300
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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 Primary

Addresses

Primary practice location

90 E Thousand Oaks Blvd Ste 200
Thousand Oaks, CA 91360-5761

Mailing address

90 E Thousand Oaks Blvd Ste 200
Thousand Oaks, CA 91360-5761
Phone (805) 497-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002169 CA Practitioner - Physical Therapist in Private Practice 6406388651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conejo Valley Physical Therapy IncGroup PAC ID 5294903977, 3 clinicians

Practice addresses (Care Compare)

90 E Thousand Oaks Blvd
Suite 200
Thousand Oaks, CA 91360-5761
Phone (805) 497-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conejo Valley Physical Therapy, Inc Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients

Locations

90 E Thousand Oaks Blvd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 341-7110

Organizations & group practices 1

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1144912700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E THOUSAND OAKS BLVD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605761",
            "telephone_number": "805-497-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E THOUSAND OAKS BLVD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605761",
            "telephone_number": "805-497-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "ALEXANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.