Individual provider Active NPI

Kevin Stahl, PT, DPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1760194302
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303251 Issued in CA
Practice address
1392 E Palomar St Ste 503
Chula Vista, CA 91913-1895
Phone
(619) 482-3000
NPI assigned
Dec 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7355 ME
Physical Therapist 225100000X 303251 CA Primary

Addresses

Primary practice location

1392 E Palomar St Ste 503
Chula Vista, CA 91913-1895

Mailing address

1884 Aquamarine CT Unit 6
Chula Vista, CA 91913-8336
Phone (858) 602-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230203001397 CA Practitioner - Physical Therapist in Private Practice 6103298906 Reassigns benefits to 1 organization
I20260622002849 ME Practitioner - Physical Therapist in Private Practice 6103298906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Me LLCGroup PAC ID 0042607681, 45 clinicians
Performance Plus Physical Therapy, Inc.Group PAC ID 1850668773, 19 clinicians

Practice addresses (Care Compare)

Scarborough, ME 04074
Phone (877) 407-3422

1392 E Palomar St
Suite 503
Chula Vista, CA 91913-1895
Phone (619) 482-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303251CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Plus Physical Therapy, Inc. Physical Therapist CurrentSince Nov 15, 2022 Accepting new patients
The Chiro Office PastSince Nov 15, 2022 Accepting new patients

Locations

1392 E Palomar St
Ste 503
Chula Vista, CA 91913
Phone (619) 482-3000

386 E H St
Ste 203
Chula Vista, CA 91910
Phone (619) 482-3000

600 Palm Ave
Ste 126
Imperial Beach, CA 91932
Phone (619) 332-4200

3400 E 8th St
Ste 108
National City, CA 91950
Phone (619) 482-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1760194302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 AQUAMARINE CT UNIT 6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919138336",
            "telephone_number": "858-602-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 E PALOMAR ST STE 503",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131895",
            "telephone_number": "619-482-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT7355",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.