Active NPI
Stephanie Paula Boyd, PT
- Physical Therapy Clinic/Center
- San Ramon, CA
National Provider Identifier
1891222063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 28887
- Practice address
- 2301 Camino Ramon Ste 160
San Ramon, CA 94583-2031 - Phone
- (925) 355-1900
- Fax
- (925) 355-1903
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 28887 | CA | Primary |
Addresses
Primary practice location
2301 Camino Ramon Ste 160
San Ramon, CA 94583-2031
Mailing address
603 Little LN
Pleasant Hill, CA 94523-2178
Phone (925) 849-6395
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28887 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1891222063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LITTLE LN",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232178",
"telephone_number": "925-849-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON STE 160",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832031",
"telephone_number": "925-355-1900",
"fax_number": "925-355-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "STEPHANIE",
"middle_name": "PAULA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "28887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.