Individual provider Active NPI

Stephen Daniel Politis, DPT

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1710210844
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40155 Issued in CA
Practice address
1731 State St
Santa Barbara, CA 93101-2521
Phone
(805) 284-9449
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 PT40155 CA Primary

Addresses

Primary practice location

1731 State St
Santa Barbara, CA 93101-2521

Mailing address

133 E de la Guerra St # 373
Santa Barbara, CA 93101-2228
Phone (805) 284-9449

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40155CAMDPharmacist
PT40155CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic 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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1710210844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E DE LA GUERRA ST # 373",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012228",
            "telephone_number": "805-284-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012521",
            "telephone_number": "805-284-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.