Individual provider Active NPI

Jessica Ana Rodil Sumbillo, DPT, PT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1760062665
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299431 Issued in CA
Practice address
17872 Gillette Ave Ste 210
Irvine, CA 92614-6573
Phone
(949) 379-9400
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 299431 CA Primary

Addresses

Primary practice location

17872 Gillette Ave Ste 210
Irvine, CA 92614-6573

Mailing address

2117 Spectrum
Irvine, CA 92618-3135

Other practice location 1

14642 Newport Ave Ste 105
Tustin, CA 92780-6058
Phone (949) 333-3833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001391 CA Practitioner - Physical Therapist in Private Practice 4385053677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Physical Therapy Ocpt IncGroup PAC ID 8325373723, 11 clinicians

Practice addresses (Care Compare)

2135 Westcliff Dr
Suite 203
Newport Beach, CA 92660-5543
Phone (949) 379-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy Associates Physical Therapist CurrentSince Apr 21, 2021 Accepting new patients

Locations

15775 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (714) 500-8388

101 Pacifica
Ste 270
Irvine, CA 92618
Phone (949) 333-3833

23521 Paseo de Valencia
Ste 110
Laguna Hills, CA 92653
Phone (949) 333-3833

14642 Newport Ave
Ste 105
Tustin, CA 92780
Phone (310) 208-6104

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1760062665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17872 GILLETTE AVE STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146573",
            "telephone_number": "949-379-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14642 Newport Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927806058",
            "country_code": "US",
            "telephone_number": "949-333-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMBILLO",
        "first_name": "JESSICA ANA",
        "middle_name": "RODIL",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299431",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 6, 2026; 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.