Stephanie Watanabe, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34781 Issued in CA

Practice address

435 Arden Ave
Suite 370
Glendale, CA 91203-1130

Phone

(818) 240-5012

Fax

(818) 240-8438

NPI assigned

Sep 5, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.watanabe.p1@direct.lakeside.nextgenshare.com

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

• Joseph S Luk Physical Therapy, Inc.

  • Physical Therapist
  • Glendale, CA
  • NPI 1508807942
  NPD (past)
• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1932129434
  NPD (past)
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642
  NPD (past)

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1538317201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "SUITE 370",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-240-5012",
            "fax_number": "818-240-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "SUITE 370",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-240-5012",
            "fax_number": "818-240-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ward, MFT
• Warm Hands Hospice Inc
• Kelli Warner
• Kierra Washington
• Nicole Washington, NP
• Albe M Watkins Jr., MD
• Leland E Watkins, MD
• Carrie Watson
• Wayne Siu Et Al PTR (Medical Terrace Pharmacy)
• We Can Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.