Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bobby Suministrado, PTA

Individual provider Physical Therapy Assistant · NPI 1336976182

Bobby Suministrado, PTA is a Physical Therapy Assistant in Moorpark, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4211 Tierra Rejada Rd
Moorpark, CA 93021-3772
Phone: (805) 529-8076
Fax: (805) 523-8796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 53568 (CA)

Record details

NPI number1336976182
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address25115 Avenue Stanford Ste B135, Valencia, CA 91355-1290

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