Individual provider · Type 1 NPI

Anocha Suphol, MPT

Sports Physical Therapist · Riverside, CA

NPI number 1003031899 Active

Practice location

4444 Magnolia Ave
Riverside, CA 92501-4136

Call (951) 274-3524 Map

Fax (951) 274-3442

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007XPT27871 (CA)
Orthopedic Physical Therapist 2251X0800XPT27871 (CA)

Sports Physical Therapist: 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, medica…

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About NPI 1003031899

Anocha Suphol, MPT's National Provider Identifier is 1003031899, issued on Apr 16, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Riverside, CA. The record was last updated on Sep 11, 2025.