Stephanie Edmunds

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11058 Madrigal St
San Diego, CA 92129-1025

Phone

(858) 879-7255

NPI assigned

Jul 14, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1548746340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11058 MADRIGAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291025",
            "telephone_number": "858-879-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11058 MADRIGAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291025",
            "telephone_number": "858-879-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Edmonston, RN
• Edmund W. Jay, D.D.S.,Inc.
• Benjamin Cal Edmunds, DDS
• Matthew Philip Edmunds, IDC
• Michelle Angelique Edmunds, M.D.
• Teresa Edmunds, RN, IBCLC
• Edna M Augustine
• Kristian Fernandez Ednacot
• Ute-Karin Edney, R.N.-C.D.E.
• Kaylannie Chinalpan Ednilao

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; 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.