Active NPI
Tod Michael Steffenilla, MPT
- Physical Therapist
- Pacific Grove, CA
National Provider Identifier
1306911847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23986
- Practice address
- 1120 Forest Ave
218
Pacific Grove, CA 93950-5105 - Phone
- (831) 601-0708
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23986 | CA | Primary |
Addresses
Primary practice location
1120 Forest Ave
218
Pacific Grove, CA 93950-5105
Mailing address
1120 Forest Ave
218
Pacific Grove, CA 93950-5105
Phone (831) 601-0708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT23986 | Other | CA | PHYSICAL THERAPIST LIC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23986 | CA | MD | Physical Therapist |
| PT23986 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1306911847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 FOREST AVE",
"address_2": "218",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939505105",
"telephone_number": "831-601-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 FOREST AVE",
"address_2": "218",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939505105",
"telephone_number": "831-601-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFFENILLA",
"first_name": "TOD",
"middle_name": "MICHAEL",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LIC.",
"identifier": "PT23986",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.