Sharon Lee Stupay, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT1402 Issued in CA

Practice address

4655 Ruffner St
San Diego, CA 92111-2275

Phone

(714) 369-8312

NPI assigned

May 22, 2007

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

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578773586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 DUNBAR AVE APT A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495185",
            "telephone_number": "714-369-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 RUFFNER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112275",
            "telephone_number": "714-369-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPAY",
        "first_name": "SHARON",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Stullman
• Brooke Marie Stulz, M.S.,CCC-SLP
• Chari Diana Stump, M.D.
• Samantha Stump
• Sarah Stumpf
• Harriet L Stupp, MFT
• Maria de Lourdes Ladino Sturchler, M.D.
• Adam Clayton Sturdavant, M.D.
• Virginia Gutierrez Sturdivant, RN
• Candace Sturgeon, NP

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.