Active NPI
Noli Dizon Sapuriada, P.T.
- Physical Therapist
- Cerritos, CA
National Provider Identifier
1750529095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15885
- Practice address
- 13123 Carolyn St
Cerritos, CA 90703-8603 - Phone
- (213) 300-2796
- Fax
- (213) 489-4005
- NPI assigned
- Jan 24, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT15885 | CA | Primary |
Addresses
Primary practice location
13123 Carolyn St
Cerritos, CA 90703-8603
Mailing address
13123 Carolyn St
Cerritos, CA 90703-8603
Phone (213) 300-2796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT15885 | Other | CA | CALIFORNIA PT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15885 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerpointe Therapy Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232755200000",
"number": "1750529095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13123 CAROLYN ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038603",
"telephone_number": "213-300-2796",
"fax_number": "213-489-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 CAROLYN ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038603",
"telephone_number": "213-300-2796",
"fax_number": "213-489-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPURIADA",
"first_name": "NOLI",
"middle_name": "DIZON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-24",
"last_updated": "2009-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PT LICENSE",
"identifier": "PT15885",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.