ANTHONY OTALORA-SUGASTE
NPI 1972094795
Physical Therapist in Tacoma, WA

Q: What is Anthony Otalora-sugaste's NPI number?

The NPI number for Anthony Otalora-sugaste is 1972094795. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Q: What is Anthony Otalora-sugaste's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Active since May 29, 2018Accepts Medicare Assignment

93.74/100

CMS Quality Rating

15703 PACIFIC AVE S STE B, TACOMA, WA 98444(253) 531-4100(253) 531-3795 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anthony Otalora-sugaste NPPES

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

ANTHONY OTALORA-SUGASTE (NPI 1972094795) is an individual physical therapist in Tacoma, Washington and active in the NPI registry since May 2018. He maintains a secondary practice location in Montclair and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972094795

Entity TypeIndividualMale

Primary Taxonomy225100000X

Provider Legal NameANTHONY OTALORA-SUGASTE

Location Address15703 PACIFIC AVE S STE BTacoma, WA 98444-4675

Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909

Phone(253) 531-4100

Fax(253) 531-3795

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 29, 2018

Last NPPES UpdateJune 28, 2024

NPPES CertifiedJune 28, 2024

✔ NPI 1972094795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225100000X

Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

Diagnose and manage movement dysfunction and enhance physical and functional abilities.
Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

15703 PACIFIC AVE S STE B, Tacoma, WA 98444

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Secondary Practice Location 1

Location 11 Greenwood AveMontclair, NJ 07042-3649 · Phone (973) 746-2424

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Otalora-sugaste is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103181425

PECOS Enrollment IDI20240710003280

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

423 services58 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

205 services50 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

92 services33 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

54 services25 patients

Evaluation for physical therapy, typically 45 minutes 97163

An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.63

Improvement Activities

Other Providers at the Same Location NPPES 9

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

RYAN J HARTY

Physical Therapist