Individual provider Active NPI

Joseph Stokes Elmer III

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1275339483
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307409 Issued in CA
Practice address
201 Calle de Los Molinos
San Clemente, CA 92672-3874
Phone
(949) 388-5692
NPI assigned
Feb 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 307409 CA Primary

Addresses

Primary practice location

201 Calle de Los Molinos
San Clemente, CA 92672-3874

Mailing address

201 Calle de Los Molinos
San Clemente, CA 92672-3874
Phone (949) 388-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307409CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Sports Consultants Physical Therapy Inc Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

201 Calle de los Molinos
San Clemente, CA 92672
Phone (949) 388-5692

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1275339483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE DE LOS MOLINOS",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723874",
            "telephone_number": "949-388-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALLE DE LOS MOLINOS",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723874",
            "telephone_number": "949-388-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMER",
        "first_name": "JOSEPH",
        "middle_name": "STOKES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.