DR. STEPHANIE ADA IACOBELLI (NPI# 1457765026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457765026 |
Entity Type | Individual |
Full Name | DR. STEPHANIE ADA IACOBELLI |
Credential | DPT, PT |
Practice Address |
3666 Kearny Villa Rd San Diego CA 92123-1951 |
Mailing Address |
3634 31st St San Diego CA 92104-4204 |
Practice Telephone | 8584992600 |
Mailing Telephone | 7608094603 |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0012628 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3666 KEARNY VILLA RD |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-1951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750420949 | Michael Thomas Ryder | Physical Therapist | 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1949 | 2007-02-05 |
1811319627 | Colleen Maher | Occupational Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2014-01-14 |
1326478314 | Brandon Kusakabe | Physical Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2013-11-12 |
1457791451 | Olga Lyssanova | Specialist/Technologist | 3666 Kearny Villa Rd, Suite #225, San Diego, CA 92123-1951 | 2013-07-05 |
1598052771 | Michael Leverne Stewart | Physical Therapist | 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1951 | 2011-07-07 |
1598083933 | Charles Joseph Marty | Physical Therapist | 3666 Kearny Villa Rd, 200, San Diego, CA 92123-1951 | 2010-05-10 |
1205151651 | Celia Bartman | Physical Therapy Assistant | 3666 Kearny Villa Rd, 225, San Diego, CA 92123-1951 | 2010-03-29 |
1962727321 | Fred Schmitz | Specialist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2010-03-29 |
1881919215 | Anthony S Sanchez | Physical Therapist | 3666 Kearny Villa Rd, Suite 225, San Diego, CA 92123-1951 | 2010-03-29 |
1245554906 | Marie Grandinetti | Occupational Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2010-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1710532726 | Katherine Dever Jones | Physical Therapist | 7625 Mesa College Dr # 101a, San Diego, CA 92111-5343 | 2019-08-06 |
1437711082 | Garrett Kale | Physical Therapist | 9333 Genesee Ave # 350a, San Diego, CA 92121-2111 | 2019-07-03 |
1467946921 | Meredith Claire Haeuptle | Physical Therapist | 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 | 2018-06-19 |
1407362650 | Chelsea Boomer | Physical Therapist | 6475 Alvarado Rd Ste 118, San Diego, CA 92120-5007 | 2017-12-26 |
1679018675 | Julie Woolridge | Physical Therapist | 295 G Street, San Diego, CA 92101-4633 | 2016-12-29 |
1710351747 | Jonathan Pe | Physical Therapist | 18109 Smokesignal Dr, San Diego, CA 92127-3108 | 2015-11-13 |
1801295332 | Julie Guerin | Physical Therapist | 17860 Main, San Diego, CA 92177-7860 | 2014-08-20 |
1811330400 | Keith Mahler Physical Therapist & Associates | Physical Therapist | 7801 Mission Center Ct Ste 430, San Diego, CA 92108-1332 | 2013-04-12 |
1720337660 | Jenna Marie Kempf | Physical Therapist | 2555 Camino Del Rio South, 102, San Diego, CA 92108 | 2012-09-06 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.