Staci A Self (NPI# 1437458411, PAC ID# 6507041878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1437458411 |
| PAC ID by PECOS | 6507041878 |
| Professional Enrollment ID | I20110502000230 |
| Full Name | Staci A Self |
| Organization Legal Name | SCOR PHYSICAL THERAPY INC |
| Address |
653 Camino De Los Mares Suite 110 San Clemente CA 92673-2808 |
| Phone Number | 9494960122 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8729973730 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 | 9494960122 | SCOR PHYSICAL THERAPY INC |
| 653 Camino De Los Mares, San Clemente, CA 92673-2808 | 9494960122 | SCOR PHYSICAL THERAPY INC |
| Organization Legal Name | SCOR PHYSICAL THERAPY INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Souza | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Tyler Charles Seppanen | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Kathleen H Fiorenza | Occupational Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Andy Feingold | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Kirsten Hertzler | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Lisa M Campbell | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Linda L West | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Street Address |
653 CAMINO DE LOS MARES SUITE 110 |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92673-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Souza | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Rebecca L Ng | Optometry | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Tyler Charles Seppanen | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Kathleen H Fiorenza | Occupational Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Ramin Tayani | Ophthalmology | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Phuonganh Q Tran | Optometry | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Edward Horacio Bestard | Orthopedic Surgery | 653 Camino De Los Mares, Suite 102, San Clemente, CA 92673-2808 | |
| Adam Z Franklin | Orthopedic Surgery | 653 Camino De Los Mares, Suite 109, San Clemente, CA 92673-2808 | |
| Farah C Awadalla | Dermatology | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Andy Feingold | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Van Der Reis | Orthopedic Surgery | 653 Camino De Las Mares, Suite 109, Sam Clemente, CA 92673 | |
| Sandra K Wong | Physical Therapy | 660 Camino De Los Mares, San Clemente, CA 92673-1800 | |
| Jeffrey Felgner | Family Practice | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Bella Darji | Nurse Practitioner | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Holly K Finley | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| David W Reenders | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Megan E Parent | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Sonia D Armbruster | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Maren T George | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Burton Leland Wagner | Chiropractic | 647 Camino De Los Mares, Suite 220, San Clemente, CA 92673-2807 | |
| Find all physicians in zip 92673 | |||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAN CLEMENTE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Staci A Self.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.