Individual provider Active NPI

Stacy Alvares, DPT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1932853124
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301612 Issued in CA
Practice address
1054 S de Anza Blvd Ste 120
San Jose, CA 95129-3553
Phone
(408) 257-2225
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 301612 CA Primary

Addresses

Primary practice location

1054 S de Anza Blvd Ste 120
San Jose, CA 95129-3553

Mailing address

1054 S de Anza Blvd Ste 120
San Jose, CA 95129-3553
Phone (408) 873-8188

Other identifiers 1

IdentifierTypeStateIssuer
301612OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322001284 CA Practitioner - Physical Therapist in Private Practice 5597150987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cupertino Physical Therapy IncGroup PAC ID 2567550981, 2 clinicians

Practice addresses (Care Compare)

1054 S de Anza Blvd
Suite 120
San Jose, CA 95129-3553
Phone (408) 873-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301612CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cupertino Physical Therapy, Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

1054 S De Anza Blvd
Ste 110
San Jose, CA 95129
Phone (408) 873-8188

1054 S De Anza Blvd
Ste 120
San Jose, CA 95129
Phone (408) 257-2225

Organizations & group practices 1

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1932853124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 S DE ANZA BLVD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293553",
            "telephone_number": "408-873-8188",
            "fax_number": "408-873-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 S DE ANZA BLVD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293553",
            "telephone_number": "408-257-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARES",
        "first_name": "STACY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "301612",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.