Active NPI
Stepanie Bokum Lesser, RPT REGISTERED PHYSI
- Physical Therapist
- San Diego, CA
National Provider Identifier
1437276565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6928
- Practice address
- 7450 Hazard Center Dr S
Doubletree Hotel
San Diego, CA 92108 - Phone
- (619) 899-3619
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- 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 | PT6928 | CA | Primary |
Addresses
Primary practice location
7450 Hazard Center Dr S
Doubletree Hotel
San Diego, CA 92108
Mailing address
1829 Sunset Blvd
San Diego, CA 92103
Phone (619) 291-4472
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6928 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437276565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 SUNSET BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-291-4472",
"fax_number": "858-560-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 HAZARD CENTER DR S",
"address_2": "DOUBLETREE HOTEL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-899-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "STEPANIE",
"middle_name": "BOKUM",
"name_prefix": "Mrs.",
"credential": "RPT REGISTERED PHYSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.