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

Q: 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.

Q: What is Anocha Suphol's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anocha Suphol was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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.

DE ANZA SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

4444 MAGNOLIA AVE, SUITE C
RIVERSIDE, CA 92501

Riverside County (951) 320-7799

DANICA C MACIAS DPT

Physical Medicine & Rehabilitation