Stephanie Ann Watson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

306526 Issued in CA

Practice address

800 Corporate Dr Ste 190
Ladera Ranch, CA 92694-2162

Phone

(949) 218-0790

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Livara Health Medical Group PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1144469404
  Medicare reassignment Care Compare group
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008
  Medicare reassignment NPD
• M & M Physical Therapy Inc.

  • Physical Therapist
  • Ladera Ranch, CA
  • NPI 1053585950
  NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1053073643
  NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004
  NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1881425510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 190",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942162",
            "telephone_number": "949-218-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 190",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942162",
            "telephone_number": "949-218-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "306526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Tu
• Brittany Udell, PHARMD
• Karen Van Valkenburg, OTR/L, CHT
• Vigliarolo, D.D.S. Dental Corp
• Mitchell Joseph Wainwright, M.D.
• Clyde Wesp Jr., M.D.
• West Coast Wellness LLC
• Jacinda Wilcox, PHARMD
• Williams & Cole Personal Injury Chiropractic, Apc
• Leann Arleen Williams, MD

• Physical Medicine & Rehabilitation Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.