Individual provider Active NPI

Stephanie Hetto, PT, DPT

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1386366797
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305388 Issued in CA
Practice address
29645 Rancho California Rd Ste 121
Temecula, CA 92591-5285
Phone
(951) 695-5144
Fax
(951) 696-9345
NPI assigned
Sep 13, 2022
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP017388T AZ
Physical Therapist 225100000X 11561 SC
Physical Therapist 225100000X 16088-24 WI
Physical Therapist 225100000X CP018797T CO
Physical Therapist 225100000X 305388 CA Primary

Addresses

Primary practice location

29645 Rancho California Rd Ste 121
Temecula, CA 92591-5285

Mailing address

W5960 Tranquil Way
Appleton, WI 54915-7477
Phone (920) 213-7668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CO, CA, WA, AK, ID, NV, ME8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20221206001023 SC Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20230816002038 CO Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20240228004226 CA Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20240822001102 WA Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20241218003378 AK Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20250916001659 ID Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20260326001232 NV Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization
I20260616003488 ME Practitioner - Physical Therapist in Private Practice 9537538079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rjlft LLCGroup PAC ID 6507306594, 3 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

200 Lower Main St
Suite 302
Freeport, ME 04032-1011
Phone (207) 891-7010

3554 S Findley Ave
Boise, ID 83705-5229
Phone (208) 741-5489

8945 W Post Rd
Suite 200
Las Vegas, NV 89148-2430
Phone (702) 251-7147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP017388TAZMDPhysical Therapist
CP018797TCOMDPhysical Therapist
11561SCMDPhysical Therapist
16088-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Berkana Rehabilitation, PLLC Physical Therapist CurrentSince Jun 6, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Feb 15, 2024 Accepting new patients
Star Physical Therapy Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Sep 12, 2022 Accepting new patients
Rjlft, LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients

Locations

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

7731 E Northern Lights Blvd
Ste 2
Anchorage, AK 99504
Phone (907) 245-5555

1779 Woodside Rd
Ste 102
Redwood City, CA 94061
Phone (650) 780-9700

29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296

31720 US Highway 79
Ste 101
Temecula, CA 92592
Phone (951) 303-3566

2001 S Shields St
Ste A1
Fort Collins, CO 80526
Phone (970) 797-2431

3554 S Findley Ave
Boise, ID 83705
Phone (208) 741-5489

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1520 E Greenville St
Ste G
Anderson, SC 29621
Phone (864) 224-6070

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1386366797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5960 TRANQUIL WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157477",
            "telephone_number": "920-213-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD STE 121",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915285",
            "telephone_number": "951-695-5144",
            "fax_number": "951-696-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTO",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP017388T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11561",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16088-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP018797T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.