Active NPI
Sean P Stephan, DPT
- Physical Therapist
- Ventura, CA
National Provider Identifier
1750407771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33354
- Practice address
- 2895 Loma Vista Rd Ste H
Ventura, CA 93003-1542 - Phone
- (805) 765-4773
- Fax
- (805) 681-1768
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33354 | CA | Primary |
Addresses
Primary practice location
2895 Loma Vista Rd Ste H
Ventura, CA 93003-1542
Mailing address
PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 681-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CU048Z | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33354 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kealia Kai Inc. | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
2895 Loma Vista Rd
Ste H
Ventura, CA 93003
Phone (805) 269-6316
3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565
Organizations & group practices 4
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.
-
- Orthopedic Physical Therapist
- Ventura, CA
- NPI 1104637818
-
dba Two Trees Physical Therapy
- Physical Therapist
- Ventura, CA
- NPI 1770830325
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
dba Two Trees Ortho
- Physical Therapist
- Ventura, CA
- NPI 1205453305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1750407771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62106",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931602106",
"telephone_number": "805-681-1760",
"fax_number": "805-681-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 LOMA VISTA RD STE H",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031542",
"telephone_number": "805-765-4773",
"fax_number": "805-681-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHAN",
"first_name": "SEAN",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CU048Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
- Carmen Elizabeth Stellar, MD
- Michael Alan Stelman, M.D.
- Denise Stennette, M.D.
- Kevin Stepanek, DO
- Stephan Sweet, M.D. Inc.
- Stephanie Thurston, LCSW, a Professional Psychotherapy Corp (The Therapy Place)
- Stephen a. Scott, DDS, Apc
- Stephen M. Feinberg, MD Inc
- Stephen Maloon, M.D., a Professional Corp.
- Stephen R. Shaw, M.D., Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.