Individual provider Active NPI

Gladys Almoite Suos, PHYSICAL THERAPY

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1255078515
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302104 Issued in CA
Practice address
3620 Long Beach Blvd Ste C11
Long Beach, CA 90807-6016
Phone
(714) 329-9105
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302104 CA Primary

Addresses

Primary practice location

3620 Long Beach Blvd Ste C11
Long Beach, CA 90807-6016

Mailing address

3529 E Meadowridge Rd
Orange, CA 92867-2032
Phone (714) 329-9105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006002010 CA Practitioner - Physical Therapist in Private Practice 2860878337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3620 Long Beach Blvd
Suite C11
Long Beach, CA 90807-6016
Phone (714) 329-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302104CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated PT & Wellness CurrentSince May 22, 2022 Accepting new patients
Best Stop Home Health Inc Current Accepting new patients
Limitless Rehabilitation and Performance Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 4, 2023 Accepting new patients
The Heights Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients

Locations

3620 Long Beach Blvd
Ste C11
Long Beach, CA 90807
Phone (562) 997-0966

701 E 28th St
Ste 301
Long Beach, CA 90806
Phone (562) 337-8190

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1255078515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 E MEADOWRIDGE RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928672032",
            "telephone_number": "714-329-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LONG BEACH BLVD STE C11",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076016",
            "telephone_number": "714-329-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUOS",
        "first_name": "GLADYS",
        "middle_name": "ALMOITE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.