STEPHANIE CLEMENTS – Physical Therapist, NPI 1184099608

STEPHANIE CLEMENTS is a healthcare provider. based in Costa mesa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 43446 (CA). The NPI Number for STEPHANIE CLEMENTS is 1184099608

Main info

Female
11 Years Of Experience
Name
STEPHANIE CLEMENTS
NPI
1184099608
Phone
(714) 556-1600
Address
1700 Adams Ave
Enumeration Date
9 December 2015
Last Update Date
26 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604440102
Graduation Year
2015 (11 years ago)
PAC ID
1658676747
Group Practice PAC ID
1557369436
Professional Enrollment ID
I20160229000139
Address ID
CA920111001CA6070XENCI301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for STEPHANIE CLEMENTS

  • 1700 Adams Ave

    Suite 201

    Costa Mesa, CA 926264865

    Phone: (714) 556-1600

    Fax: (714) 556-3737

    Type: Location

  • 2216 NEWPORT BLVD

    COSTA MESA, CA 926271711

    Phone: (714) 235-4026

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160229000139IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,26189$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46281$0
97530Therapy procedure using functional activities41836$0
97150Therapy procedure in a group setting12023$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8311$0
View full utilization report →

Insurance plans in this area (ZIP 92626)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557369436View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANIE CLEMENTS?
NPI 1184099608 is assigned to STEPHANIE CLEMENTS under the national enumeration system.
Is STEPHANIE CLEMENTS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize STEPHANIE CLEMENTS's specialty in plain language?
Clinically, the directory lists STEPHANIE CLEMENTS with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE CLEMENTS?
The page summarizes Costa Mesa, California for STEPHANIE CLEMENTS; expand the address list for detail.
Is STEPHANIE CLEMENTS a real provider?
This page reflects official NPPES data for NPI 1184099608. Always confirm identity and privileges with the practice and licensing boards.

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