Stephanie Corl, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39506 Issued in CA

Practice address

6759 Sierra CT Ste a
Suite 100
Dublin, CA 94568-2657

Phone

(925) 803-0530

NPI assigned

Oct 17, 2012

Last updated

Nov 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Kalivoda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
  • NPI 1013981760
  NPD

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1447503339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STANWELL DR",
            "address_2": "SUITE 104",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204862",
            "telephone_number": "925-686-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 SIERRA CT STE A",
            "address_2": "SUITE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682657",
            "telephone_number": "925-803-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORL",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KALIVODA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aislinn Coombs
• Sylas Cooper
• Heather Cordle, FNP
• Coredynamics Physical Therapy and Ergonomics Inc
• Viviana Corella
• Jessica Cornejo Flores
• Anna Cornejo
• Mason Marie Cornelius
• Steven S Correia
• Xochitl Cortes

• Physical Therapist in Dublin, CA
• Providers in Dublin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.