NPIMap

Organization Active NPI

Es3 Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1700478278
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ES3 PHYSICAL THERAPY INC
Practice address
10425 Tierrasanta Blvd Ste 102
San Diego, CA 92124-2618
Phone
(858) 598-5055
Fax
(858) 598-5075
NPI assigned
Feb 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Dr. Renee Stetkevich, PTNPI 1538357397
Title
Owner, Ceo, Director, PT
Phone
(858) 539-3790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10425 Tierrasanta Blvd Ste 102
San Diego, CA 92124-2618

Mailing address

10425 Tierrasanta Blvd Ste 102
San Diego, CA 92124-2618
Phone (858) 598-5055

Other identifiers 1

IdentifierTypeStateIssuer
1538357397MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stetkevich@es3pt.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210406002113 CA Part B Supplier - Clinic/Group Practice 2365859550 Receives reassigned benefits from 6 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

10425 Tierrasanta Blvd
Ste 102
San Diego, CA 92124
Phone (858) 598-5055

Interoperability endpoints

  • Direct secure messaging: stetkevich@es3pt.com

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1700478278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 TIERRASANTA BLVD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242618",
            "telephone_number": "858-598-5055",
            "fax_number": "858-598-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 TIERRASANTA BLVD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242618",
            "telephone_number": "858-598-5055",
            "fax_number": "858-598-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ES3 PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "STETKEVICH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER, CEO, DIRECTOR, PT",
        "authorized_official_telephone_number": "858-539-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538357397",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stetkevich@es3pt.com",
            "affiliation": "N",
            "endpointDescription": "Business email, use ENCRYPT in email subject",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10425 Tierrasanta Blvd Ste 102",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921242618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.