Active NPI
Jessica Ana Rodil Sumbillo, DPT, PT
- Physical Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299431
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Therapy Associates | Physical Therapist | Current | 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.
-
- Physical Therapist
- Newport Beach, CA
- NPI 1780147330
-
- Physical Therapist
- Irvine, CA
- NPI 1902102023
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
- Sung Min Suh, DDS
- Susie Suh, MD
- William Christopher Sullivan, PA-C
- Zeeshan Sultan
- Peter Robertson Sumarsono, D.D.S
- Lori Summerfield
- Danielle Angela Summers, M.A., LMFT
- Summit Psychotherapy Associates, PC (Eating Recovery Center of CA)
- Summit Psychotherapy Associates, PC (Eating Recovery Center of CA)
- Summit Psychotherapy Associates, PC (Eating Recovery Center of California)
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.