Gina Stoppoloni Stathacopoulos, PT MA PT GDMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24571 Issued in CA

Practice address

1670 S Amphlett Blvd
Suite 123
San Mateo, CA 94402-2510

Phone

(650) 558-0247

Fax

(650) 558-1735

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• ABA Physical Therapy Associates PC

  • Physical Medicine & Rehabilitation Physician
  • San Mateo, CA
  • NPI 1114983640

  Physical Therapist

  NPD (past)
• Hand Rehab Associates, Inc.

  • Hand Physical Therapist
  • Redwood City, CA
  • NPI 1932104270
  NPD (past)
• Health on Wheels PC

  • Physical Therapist
  • San Mateo, CA
  • NPI 1326453606
  NPD (past)
• Schoenstein Physical Therapy and Worker Selection Testing Inc.

  • Physical Therapist
  • Redwood City, CA
  • NPI 1174618573
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1801940317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "SUITE 123",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-558-0247",
            "fax_number": "650-558-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "SUITE 123",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-558-0247",
            "fax_number": "650-558-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHACOPOULOS",
        "first_name": "GINA",
        "middle_name": "STOPPOLONI",
        "name_prefix": "Mrs.",
        "credential": "PT MA PT GDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standard Home Health and Hospice Care, Inc
• Standard Home Health and Hospice Care, Inc
• Stanley Young MD Inc
• Brett Stark, B.S. PHARMACY
• Suzanne J Starr
• Melanie Lynn Stauffer, LMFT
• Taylor Steed
• Dalton Anthony Steele
• Myra Lynn Steele, LPC
• Suzi Stefanac

• Physical Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.