Ross Lason Sugiyama, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298830 Issued in CA

Practice address

24050 Aliso Creek Rd Ste 1C
Laguna Niguel, CA 92677-3937

Phone

(949) 317-4454

Fax

(949) 688-2134

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Herman Ostrow School of Dentistry of Usc, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State-of-the-Art Physical Therapy, Inc.Group PAC ID 5496948952, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State-of-the-Art Physical Therapy, Inc.

  • Physical Therapist
  • Tustin, CA
  • NPI 1437179959
  Medicare reassignment Care Compare group NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment NPD
• Harbor Physical Therapy & Sports Medical

  • Orthopedic Physical Therapist
  • San Pedro, CA
  • NPI 1255349676
  Medicare reassignment NPD
• Impt, Inc.

  • Orthopedic Physical Therapist
  • Irvine, CA
  • NPI 1184670804
  Medicare reassignment NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1235180886

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1013529288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 ALISO CREEK RD STE 1C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773937",
            "telephone_number": "949-317-4454",
            "fax_number": "949-688-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 ALISO CREEK RD STE 1C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773937",
            "telephone_number": "949-317-4454",
            "fax_number": "949-688-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1294 W 6th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907312997",
            "country_code": "US",
            "telephone_number": "310-547-1850",
            "fax_number": "310-547-1972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGIYAMA",
        "first_name": "ROSS",
        "middle_name": "LASON",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Steven Sugar, M.D.
• Penny Rose Sullenger, LMFT
• Marianne Sullivan, P.T.
• Summerbreeze Cottage LLC
• Sunshine Kids Pediatric Therapy Inc
• Rachna Surana, DDS

• Physical Therapist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.