Individual provider Active NPI

Stacey Siu Parsons, D.P.T., O.C.S.

  • Orthopedic Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1730247768
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
27591 Issued in CA
Practice address
205 Avenue I Ste 25
Redondo Beach, CA 90277-5619
Phone
(424) 290-0096
Fax
(424) 408-3320
NPI assigned
Dec 4, 2006
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 27591 CA Primary

Addresses

Primary practice location

205 Avenue I Ste 25
Redondo Beach, CA 90277-5619

Mailing address

205 Avenue I Ste 25
Redondo Beach, CA 90277-5619
Phone (424) 290-0096

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
27591CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Made to Move Physical Therapy, Inc. Orthopedic CurrentSince Feb 27, 2012 Accepting new patients

Locations

615 N Nash St
Ste 306
El Segundo, CA 90245
Phone (310) 535-0008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1730247768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 AVENUE I STE 25",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775619",
            "telephone_number": "424-290-0096",
            "fax_number": "424-408-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AVENUE I STE 25",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775619",
            "telephone_number": "424-290-0096",
            "fax_number": "424-408-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "STACEY",
        "middle_name": "SIU",
        "name_prefix": "Dr.",
        "credential": "D.P.T., O.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "27591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.