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

Stacy Ann Lata, PTA

Individual provider Physical Therapy Assistant · NPI 1528365269

Stacy Ann Lata, PTA is a Physical Therapy Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

17323 Campillo Dr
San Diego, CA 92128-2149
Phone: (858) 485-0848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT 1715 (CA)

Record details

NPI number1528365269
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 15, 2011
Last updated in NPPESFebruary 15, 2011

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