Individual provider Active NPI

Tessa Jean Nebeker, PT, DPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1689558389
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308631 Issued in CA
Practice address
3711 Long Beach Blvd Ste 805
Long Beach, CA 90807-3324
Phone
(310) 370-1200
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 308631 CA Primary

Addresses

Primary practice location

3711 Long Beach Blvd Ste 805
Long Beach, CA 90807-3324

Mailing address

3571 Walnut Ave
Long Beach, CA 90807-4843
Phone (562) 290-2472

Other names 1

  • Tessa Jean Stoothoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126000139 CA Practitioner - Physical Therapist in Private Practice 9931691953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
California University of Science and Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Advantage Physical Therapy IncGroup PAC ID 5698940138, 24 clinicians

Practice addresses (Care Compare)

3711 Long Beach Blvd
Suite 805
Long Beach, CA 90807-3324
Phone (310) 370-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308631CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Advantage Physical Therapy Inc CurrentSince Sep 19, 2025 Accepting new patients
Pearl Chiropractic Inc PastSince Jul 23, 2020 Accepting new patients

Locations

3711 Long Beach Blvd
Ste 805
Long Beach, CA 90807
Phone (310) 370-1200

4301 Atlantic Ave
Ste 5
Long Beach, CA 90807
Phone (310) 370-1200

3445 Pacific Coast Hwy
Ste 310
Torrance, CA 90505
Phone (310) 370-1200

2842 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 325-0800

Organizations & group practices 2

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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1689558389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 WALNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074843",
            "telephone_number": "562-290-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 805",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073324",
            "telephone_number": "310-370-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEKER",
        "first_name": "TESSA",
        "middle_name": "JEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "STOOTHOFF",
            "middle_name": "JEAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.