Individual provider Active NPI

Stephanie Clements

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1184099608
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43446 Issued in CA
Practice address
2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone
(949) 631-9009
Fax
(949) 631-1984
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 43446 CA Primary

Addresses

Primary practice location

2216 Newport Blvd
Costa Mesa, CA 92627-1711

Mailing address

2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone (714) 235-4026

Other practice location 1

1700 Adams Ave
Suite 201
Costa Mesa, CA 92626-4865
Phone (714) 556-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000139 CA Practitioner - Physical Therapist in Private Practice 1658676747 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

6070 Avenida Encinas
Suite 100
Carlsbad, CA 92011-1001
Phone (760) 444-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Jan 7, 2024 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Wellness by Design P.T. Physical Therapist Current Accepting new patients
Rhodes Physical Therapy of Ca Apc Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients
Huntington Beach Physical Therapy Specialist a Professional Corp Physical Therapist CurrentSince Oct 2, 2022 Accepting new patients
Ann Steinfeld Physical Therapy CurrentSince Dec 16, 2015 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

2216 Newport Blvd
Costa Mesa, CA 92627
Phone (949) 333-4300

1700 Adams Ave
Ste 201
Costa Mesa, CA 92626
Phone (714) 556-1600

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

16897 Algonquin St
Ste 101
Huntington Beach, CA 92649
Phone (714) 475-2226

26522 La Alameda
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-2555

15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1184099608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271711",
            "telephone_number": "714-235-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271711",
            "telephone_number": "949-631-9009",
            "fax_number": "949-631-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Adams Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264865",
            "country_code": "US",
            "telephone_number": "714-556-1600",
            "fax_number": "714-556-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.