Stephanie Hong

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

39134 Issued in CA

Practice address

5311 Derry Ave Ste I
Agoura Hills, CA 91301-5069

Phone

(818) 707-2523

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Oneup Sports Physio

  • Physical Therapy Clinic/Center
  • Valencia, CA
  • NPI 1720736895
  NPD Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1922417716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24292 PALO VERDE DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541554",
            "telephone_number": "661-733-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 DERRY AVE STE I",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015069",
            "telephone_number": "818-707-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W 35th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890001",
            "country_code": "US",
            "telephone_number": "213-821-7367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31360 Via Colinas Ste 104",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913626821",
            "country_code": "US",
            "telephone_number": "805-492-1500",
            "fax_number": "805-492-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000001728",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "39134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "39134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Hirsch, LCSW
• Lora Hnat, LMFT
• Ken Hoang Hoang
• Joseph Ellis Hobel, LMFT
• Danielle Hoffman, LMFT
• Elise Marie Hontas
• Lauren E Hoover Rios
• Cynthia R Horacek, M.F.T.
• Rebecca Jane Hulem, N.P.
• Amanda Hyman

• Sports Physical Therapist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.