Individual provider Active NPI

Stephanie Froussine

  • Physical Therapy Assistant
  • Chula Vista, CA
National Provider Identifier
1386444784
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51070 Issued in CA
Practice address
1020 Tierra del Rey # A1
Chula Vista, CA 91910-7886
Phone
(619) 585-7104
NPI assigned
Mar 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 51070 CA Primary

Addresses

Primary practice location

1020 Tierra del Rey # A1
Chula Vista, CA 91910-7886

Mailing address

15994 Aventurine LN
Chino, CA 91708-9109
Phone (626) 404-4862

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1386444784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15994 AVENTURINE LN",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089109",
            "telephone_number": "626-404-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY # A1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886",
            "telephone_number": "619-585-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROUSSINE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.