Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANOCHA SUPHOL, MPT
ActiveANOCHA SUPHOL, MPT is a Environmental Modification (OT) healthcare provider located in RIVERSIDE, California. NPI 1003031899 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · RIVERSIDE, CA
Registration Details
- NPI Number
- 1003031899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.340469430768 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PT27871 (CA)PT27871 (CA)
Practice Information
- Address
-
4444 MAGNOLIA AVERIVERSIDE, CA, 925014136Browse CA providers · Browse ZIP 92501
- Phone
- 9512743524
- Fax
- 9512743442
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Ergonomics (Occupational Therapy)
Other Environmental Modification (OT) Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| KIM SAMOSKY | MPT, OCS, ATC | 1639394414 |
| BRENT HARPER | DPT, OCS, CSCS | 1902024169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.