Individual provider Active NPI

Andrea Stancik

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1184577629
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19582 Beach Blvd Ste 130
Huntington Beach, CA 92648-5924
Phone
(714) 841-6162
NPI assigned
Feb 16, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

19582 Beach Blvd Ste 130
Huntington Beach, CA 92648-5924

Mailing address

5207 Seashore Dr Unit B
Newport Beach, CA 92663-2421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313003928 CA Practitioner - Physical Therapist in Private Practice 7113400466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

16897 Algonquin St
Suite 101
Huntington Beach, CA 92649-3811
Phone (714) 841-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309708CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1184577629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 SEASHORE DR UNIT B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485924",
            "telephone_number": "714-841-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIK",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.