Healing Pulse Physical Therapy Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

HEALING PULSE PHYSICAL THERAPY INC

Practice address

122 Lincoln Blvd Ste 203
Venice, CA 90291-2859

Phone

(424) 239-9227

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Brooke Stern, DPTNPI 1073274429

Title

Physical Therapist

Phone

(312) 810-2181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Brooke Stern, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1073274429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1518664010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S SPAULDING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193845",
            "telephone_number": "312-810-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LINCOLN BLVD STE 203",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912859",
            "telephone_number": "424-239-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PULSE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-810-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Harrison
• Kylie Hope Haviland, RN
• Chanel Hawk, LVN
• Irma Hawkins, PHD PSYCHOLOGY
• Ryna Monique Hawkins
• Robert Joel Heller, M.D.
• Helping Hands Home Health Center, Inc.
• Anna Henderson
• Anne M Hendler, MS, RDN
• Kristen Marion Hendry

• Orthopedic Physical Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.