Active NPI
Sara Sogol Amoli, MPT, CSCS
- Orthopedic Physical Therapist
- Irvine, CA
National Provider Identifier
1306934856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 26792
- Practice address
- 1124 Main St
Suite C
Irvine, CA 92614-6760 - Phone
- (949) 394-8768
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 26792 | CA | Primary |
Addresses
Primary practice location
1124 Main St
Suite C
Irvine, CA 92614-6760
Mailing address
1422 Keel Dr
Corona del Mar, CA 92625-1239
Phone (949) 394-8768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26792 | Other | CA | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070830000659 | CA | Practitioner - Physical Therapist in Private Practice | 9830282276 | Practice locations: Irvine, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1124 Main St C
Irvine, CA 92614-6758
Phone (949) 679-7755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26792 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proedge Physical Therapy | Orthopedic | Past | Accepting new patients |
| The Sportsmed Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Irvine, CA
- NPI 1609004480
-
- Physical Therapy Clinic/Center
- Irvine, CA
- NPI 1538210083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1306934856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 KEEL DR",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251239",
"telephone_number": "949-394-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 MAIN ST",
"address_2": "SUITE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146760",
"telephone_number": "949-394-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOLI",
"first_name": "SARA",
"middle_name": "SOGOL",
"credential": "MPT, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "26792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "26792",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.