Michelle Josephine Suarez Newbrey, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36762 Issued in CA

Practice address

412 W Avenue J Ste G
Lancaster, CA 93534-3685

Phone

(661) 945-0884

Fax

(661) 942-9714

NPI assigned

Aug 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1497061642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-521-6658",
            "fax_number": "800-924-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W AVENUE J STE G",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343685",
            "telephone_number": "661-945-0884",
            "fax_number": "661-942-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ NEWBREY",
        "first_name": "MICHELLE",
        "middle_name": "JOSEPHINE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ZZ",
            "license": "17904",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8839",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Stutelberg, PT
• Karl S Stutelberg, MSPT
• Omar Hisham Baker Sudqi, B.D.S.
• Olabisi B Sule-Odu
• Barry Sultan, OD
• Jerry Earl Summers
• Yolanda Summers

• Physical Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.