STACI MICHELLE GADDIS
NPI 1770213712
Rehabilitation Practitioner in San Diego, CA

Q: What is Staci Gaddis's NPI number?

The NPI number for Staci Gaddis is 1770213712. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Staci Gaddis's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Staci Gaddis was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2022

409 CAMINO DEL RIO S STE ITE 201, SAN DIEGO, CA 92108(619) 436-4020 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Staci Michelle Gaddis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI MICHELLE GADDIS (NPI 1770213712) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1770213712

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameSTACI MICHELLE GADDIS

Location Address409 CAMINO DEL RIO S STE ITE 201San Diego, CA 92108-3504

Mailing Address409 Camino Del Rio S Ste Ite 201San Diego, CA 92108-3504 · (619) 436-4020

Phone(619) 436-4020

Sole ProprietorNo

Enumeration DateJune 13, 2022

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1770213712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

409 CAMINO DEL RIO S STE ITE 201, San Diego, CA 92108

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Gaddis's NPI number?

The NPI number for Staci Gaddis is 1770213712. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Staci Gaddis located?

Staci Gaddis practices at 409 Camino Del Rio S Ste Ite 201, San Diego, CA 92108. The listed phone number is (619) 436-4020.

What is Staci Gaddis's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Staci Gaddis was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.