Individual provider Active NPI

Destiny De Alba, PT, DPT

  • Physical Therapist
  • Newbury Park, CA
National Provider Identifier
1558229229
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309295 Issued in CA
Practice address
1011 Rancho Conejo Blvd
Newbury Park, CA 91320-1718
Phone
(844) 472-1476
NPI assigned
Jan 12, 2026
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 309295 CA Primary

Addresses

Primary practice location

1011 Rancho Conejo Blvd
Newbury Park, CA 91320-1718

Mailing address

198 N Skyline Dr SPC 80
Thousand Oaks, CA 91362-3429

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

LicenseStateTypeSpecialty
309295CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Dynamix Chiropractic and Performance Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1558229229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 N SKYLINE DR SPC 80",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 RANCHO CONEJO BLVD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201718",
            "telephone_number": "844-472-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ALBA",
        "first_name": "DESTINY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.