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Stephanie Richelle Reichenberg, MPT

Physical Therapist in San Diego, CA. Individual provider (NPI-1).

NPI number1083265136
StatusActive
Last updated in NPPESSep 20, 2019

Details

NPI
1083265136
Entity type
Individual (NPI-1)
Name
Stephanie Richelle Reichenberg
Credential
MPT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2019
Last updated
Sep 20, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT23133CAYes

Other names

  • Stephanie Richelle Cobb (Former Name)

Practice location

15004 Innovation Dr
San Diego, CA 92128-3491

Phone 858-605-7189

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Phone 858-927-5527

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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