Individual provider Active NPI

Dawnlynn P. Suglian, P.T.

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1407826357
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12531 Issued in CA
Practice address
255 W Bullard Ave
Suite 114
Clovis, CA 93612-0861
Phone
(559) 299-0344
Fax
(559) 299-0391
NPI assigned
Jan 24, 2006
Last updated
Mar 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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 PT12531 CA Primary

Addresses

Primary practice location

255 W Bullard Ave
Suite 114
Clovis, CA 93612-0861

Mailing address

255 W Bullard Ave
Ste 114
Clovis, CA 93612-0861
Phone (559) 299-0344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000578 CA Practitioner - Physical Therapist in Private Practice 1052365160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functionandaction Physical Therapy IncGroup PAC ID 2365496783, 4 clinicians

Practice addresses (Care Compare)

255 W Bullard Ave
Suite 114
Clovis, CA 93612-0861
Phone (559) 299-0344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12531CAMDAcupuncturist
PT12531CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function&Action Physical Therapy, Inc. Physical Therapist CurrentSince Dec 12, 1995 Accepting new patients

Locations

255 W Bullard Ave
Ste 114
Clovis, CA 93612
Phone (559) 299-0344

Organizations & group practices 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1407826357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE",
            "address_2": "STE 114",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-299-0344",
            "fax_number": "559-299-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE",
            "address_2": "SUITE 114",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-299-0344",
            "fax_number": "559-299-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGLIAN",
        "first_name": "DAWNLYNN",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.