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

Individual provider Physical Therapist · NPI 1407686165

Stephanie Marie Divita, PT, DPT is a Physical Therapist in San Leandro, California. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13939 E 14th St Ste 150
San Leandro, CA 94578-2601
Phone: (510) 343-8328
Fax: (510) 343-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2587 Merced St, San Leandro, CA 94577-4207 — (510) 351-3553

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407686165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

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