Individual provider Active NPI

Sergio Jr Talaboc Sarza, PT, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1578289450
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60762627 Issued in WA
Practice address
13613 Meridian E Ste 220
Puyallup, WA 98373-3664
Phone
(256) 996-6818
NPI assigned
Oct 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 PT60762627 WA Primary

Addresses

Primary practice location

13613 Meridian E Ste 220
Puyallup, WA 98373-3664

Mailing address

13613 Meridian E Ste 220
Puyallup, WA 98373-3664
Phone (256) 996-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT60762627WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1578289450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 MERIDIAN E STE 220",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733664",
            "telephone_number": "256-996-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13613 MERIDIAN E STE 220",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733664",
            "telephone_number": "256-996-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARZA",
        "first_name": "SERGIO JR",
        "middle_name": "TALABOC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60762627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.