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ANOCHA SUPHOL MPT
NPI 1003031899
Physical Therapist - Sports in Riverside, CA

Active since April 16, 2007
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 274-3524(951) 274-3442 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anocha Suphol Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANOCHA SUPHOL MPT (NPI 1003031899) is an individual sports provider in Riverside, California, licensed in California (PT27871) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1003031899
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameANOCHA SUPHOLCredential: MPT
Location Address4444 MAGNOLIA AVERiverside, CA 92501-4136
Mailing Address4444 Magnolia AveRiverside, CA 92501-4136 · (951) 274-3524 · Fax (951) 274-3442
Phone(951) 274-3524
Fax(951) 274-3442
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1003031899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in CA · PT27871
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT27871 (CA)
4444 MAGNOLIA AVE, Riverside, CA 92501
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN D HILD MD
Orthopaedic Surgery
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 682-5661
MR. THOMAS MARK HARTLEY M.D.
Orthopaedic Surgery
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 682-5661
THEODORA WINN PT
Physical Therapist (Orthopedic)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3524
MS. JAMES BAUMAN CLOVER JR. MED, ATC, PTA
Specialist/Technologist (Athletic Trainer)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3484
COMMUNITY MEDICAL GROUP OF RIVERSIDE INC
Orthopaedic Surgery
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 682-5661
MR. JAMES DAVID WINN ATC
Physical Therapy Assistant
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (909) 319-6406
MARGERY SANCHEZ OT, CHT
Occupational Therapist (Hand)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3524
KIM SAMOSKY MPT, OCS, ATC
Physical Therapist (Sports)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anocha Suphol's NPI number?

The NPI number for Anocha Suphol is 1003031899. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Anocha Suphol located?

Anocha Suphol practices at 4444 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 274-3524.

What is Anocha Suphol's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Anocha Suphol was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.