Stephanie Overbaugh, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24951 Issued in CA

Practice address

23131 Lake Center Dr Ste D
Lake Forest, CA 92630-6813

Phone

(949) 595-0700

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Intergro Resources, Inc

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1275688756
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295959153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 CENTER AVE STE 106",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473039",
            "telephone_number": "714-901-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23131 LAKE CENTER DR STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306813",
            "telephone_number": "949-595-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBAUGH",
        "first_name": "STEPHANIE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Oropeza
• Ayme Orozco Gonzalez
• Yuliza Ortiz
• Paige Noel Osborne, SLP
• Otoc Occupational Therapy Services Incorporated
• P Kermanshahi Monfared a Dental Corp
• Roberto Claudio Pacelli, D.C.
• Valentina Pacheco
• Pacific Orthopedics Medical Associates, Inc.
• Jenny Paik, PHARM.D

• Physical Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.