Active NPI
Stephen August Souza, RPT DPT
- Physical Therapist
- Mission Hills, CA
National Provider Identifier
1962528489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12097
- Practice address
- 14901 Rinaldi St
Suite 335
Mission Hills, CA 91345-1204 - Phone
- (818) 365-9690
- Fax
- (818) 365-9199
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | PT12097 | CA | Primary |
Addresses
Primary practice location
14901 Rinaldi St
Suite 335
Mission Hills, CA 91345-1204
Mailing address
23105 La Gran Ja Drive
Valencia, CA 91354-2320
Phone (661) 297-6217
Other names 1
- Stephen A Souza
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT12097 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962528489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23105 LA GRAN JA DRIVE",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913542320",
"telephone_number": "661-297-6217",
"fax_number": "818-365-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 RINALDI ST",
"address_2": "SUITE 335",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451204",
"telephone_number": "818-365-9690",
"fax_number": "818-365-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "STEPHEN",
"middle_name": "AUGUST",
"name_prefix": "Dr.",
"credential": "RPT DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "SOUZA",
"middle_name": "A",
"credential": "RPT INC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.