Active NPI
Russell John Sulit, PTA
- Physical Therapy Assistant
- Covina, CA
National Provider Identifier
1851253058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 54260
- Practice address
- 234 N Citrus Ave
Covina, CA 91723-2003 - Phone
- (626) 331-0077
- Fax
- (626) 331-0067
- NPI assigned
- Nov 26, 2025
- 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 Therapy Assistant | 225200000X | 54260 | CA | Primary |
Addresses
Primary practice location
234 N Citrus Ave
Covina, CA 91723-2003
Mailing address
234 N Citrus Ave
Covina, CA 91723-2003
Phone (626) 331-0077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54260 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Physical Therapy, Inc. | 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": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1851253058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 N CITRUS AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917232003",
"telephone_number": "626-331-0077",
"fax_number": "626-331-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 N CITRUS AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917232003",
"telephone_number": "626-331-0077",
"fax_number": "626-331-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULIT",
"first_name": "RUSSELL JOHN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-26",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "54260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.