Individual provider Active NPI

Stephanie Ann Dilliner, PT

  • Physical Therapist
  • Valley Springs, CA
National Provider Identifier
1881747582
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 20388 Issued in CA
Practice address
8192 Crotty Way
Valley Springs, CA 95252-9074
Phone
(209) 598-0042
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 20388 CA Primary

Addresses

Primary practice location

8192 Crotty Way
Valley Springs, CA 95252-9074

Mailing address

PO# 727
314 East St. Charles Street
San Andreas, CA 95249-9800
Phone (209) 598-0042

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 20388CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Dilliner, Physical Therapist Inc Physical Therapist Past Accepting new patients
Stephanie Dililner Physical Therapist Inc Past Accepting new patients

Organizations & group practices 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1881747582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO# 727",
            "address_2": "314 EAST ST. CHARLES STREET",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499800",
            "telephone_number": "209-598-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 CROTTY WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529074",
            "telephone_number": "209-598-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINER",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 20388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.