Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Staci A. Self, PT

Individual provider Physical Therapist · NPI 1437458411

Staci A. Self, PT is a Physical Therapist in San Clemente, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

653 Camino De Los Mares Ste 110
San Clemente, CA 92673-2808
Phone: (949) 496-0122
Fax: (949) 496-5027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT37667 (CA)

Record details

NPI number1437458411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 16, 2011
Last updated in NPPESMarch 16, 2011
Mailing address653 Camino De Los Mares Ste 110, San Clemente, CA 92673-2808

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