Individual provider Active NPI

Jacqueline Stevens, RPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1881929263
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0983 Issued in CA
Practice address
7188 W Sunset Blvd Ste 200
Los Angeles, CA 90046-4446
Phone
(323) 436-0006
Fax
(323) 436-0666
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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 PT0983 CA Primary

Addresses

Primary practice location

7188 W Sunset Blvd Ste 200
Los Angeles, CA 90046-4446

Mailing address

7188 W Sunset Blvd Ste 200
Los Angeles, CA 90046-4446
Phone (323) 436-0006

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0983CAMDPhysical Therapist
9083CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1881929263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7188 W SUNSET BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464446",
            "telephone_number": "323-436-0006",
            "fax_number": "323-436-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7188 W SUNSET BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464446",
            "telephone_number": "323-436-0006",
            "fax_number": "323-436-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JACQUELINE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT0983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.