Active NPI
Stacey Laibow, DPT
- Orthopedic Physical Therapist
- Tustin, CA
National Provider Identifier
1699958058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT34236
- Practice address
- 250 El Camino Real
Suite 100
Tustin, CA 92780-3655 - Phone
- (714) 838-6999
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT34236 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT34236 | CA | Primary |
Addresses
Primary practice location
250 El Camino Real
Suite 100
Tustin, CA 92780-3655
Mailing address
250 El Camino Real
Suite 100
Tustin, CA 92780-3655
Phone (714) 838-6999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2012 Phalarope Court
Costa Mesa, CA 92626-4734
Phone (714) 580-2868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34236 | CA | MD | Optometrist |
| PT34236 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeworks Physical Therapy Inc | Neurology | Current | Accepting new patients |
| HW Physical Therapy | Neurology | Current | Accepting new patients |
Locations
250 El Camino Real
Ste 100
Tustin, CA 92780
Phone (714) 485-7642
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.
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1578722823
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1699958058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 EL CAMINO REAL",
"address_2": "SUITE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803655",
"telephone_number": "714-838-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 EL CAMINO REAL",
"address_2": "SUITE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803655",
"telephone_number": "714-838-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIBOW",
"first_name": "STACEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT34236",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT34236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.