Active NPI
Stacey Siu Parsons, D.P.T., O.C.S.
- Orthopedic Physical Therapist
- Redondo Beach, CA
National Provider Identifier
1730247768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 27591
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27591 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Made to Move Physical Therapy, Inc. | Orthopedic | Current | 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.