Individual ProviderStephanie D HassibiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4150 Regents Park Row, #365, La Jolla, CA 92037-9124(858) 587-8669(760) 603-9166PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie D Hassibi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205010048Provider TypeIndividualFull NameHassibi, Stephanie DCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date12/27/2007Last Updated12/27/2007Contact InformationPractice LocationPractice Address4150 Regents Park Row, #365, La Jolla, CA 92037-9124Phone(858) 587-8669Fax(858) 587-8675Mailing LocationMailing Address5611 Palmer Way, Suite A, Carlsbad, CA 92010-7253Phone(760) 603-9166Fax(760) 603-9161Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 22428California