Active NPI
Anthony Otalora-Sugaste
- Physical Therapist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 15703 Pacific Ave S Ste B
Tacoma, WA 98444-4675 - Phone
- (253) 531-4100
- Fax
- (253) 531-3795
- NPI assigned
- May 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WA | Primary | |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
15703 Pacific Ave S Ste B
Tacoma, WA 98444-4675
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
1 Greenwood Ave
Montclair, NJ 07042-3649
Phone (973) 746-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
68 River Rd
Summit, NJ 07901
Phone (908) 277-0800
576 Broadhollow Rd
Melville, NY 11747
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
15703 Pacific Ave S
#B
Tacoma, WA 98444
Phone (253) 531-4100
Organizations & group practices 8
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
- Auburn, WA
- NPI 1902808470
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Yelm, WA
- NPI 1922283050
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- Englewood, NJ
- NPI 1922558402
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1972094795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15703 PACIFIC AVE S STE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984444675",
"telephone_number": "253-531-4100",
"fax_number": "253-531-3795"
}
],
"practiceLocations": [
{
"address_1": "1 Greenwood Ave",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070423649",
"country_code": "US",
"telephone_number": "973-746-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTALORA-SUGASTE",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.