Individual provider Active NPI

Stephanie Oda, PT, DPT

  • Pediatric Physical Therapist
  • Fullerton, CA
National Provider Identifier
1588040323
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
41156 Issued in CA
Practice address
233 Orangefair Mall
Fullerton, CA 92832-3038
Phone
(714) 870-6116
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 41156 CA Primary

Addresses

Primary practice location

233 Orangefair Mall
Fullerton, CA 92832-3038

Mailing address

233 Orangefair Mall
Fullerton, CA 92832-3038

Other practice location 1

3530 W 147th St
Hawthorne, CA 90250-8518
Phone (310) 263-6830

Other practice location 2

4520 W 168th St
Lawndale, CA 90260-3246
Phone (310) 370-3585

Other practice location 3

4130 W 154th St
Lawndale, CA 90260-1740
Phone (310) 676-0197

Other practice location 4

4110 W 154th St
Lawndale, CA 90260-1740
Phone (310) 676-1197

Other practice location 5

14429 Condon Ave
Lawndale, CA 90260-1308
Phone (310) 676-6140

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
41156CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Kids, Inc. Pediatrics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1588040323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ORANGEFAIR MALL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ORANGEFAIR MALL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323038",
            "telephone_number": "714-870-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 W 147th St",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902508518",
            "country_code": "US",
            "telephone_number": "310-263-6830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 W 168th St",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902603246",
            "country_code": "US",
            "telephone_number": "310-370-3585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4130 W 154th St",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902601740",
            "country_code": "US",
            "telephone_number": "310-676-0197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4110 W 154th St",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902601740",
            "country_code": "US",
            "telephone_number": "310-676-1197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14429 Condon Ave",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902601308",
            "country_code": "US",
            "telephone_number": "310-676-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODA",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "41156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.