Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Sideny Lee Scruggs IV, PT, ATC

Individual provider Physical Therapist · NPI 1235375197

Mr. Sideny Lee Scruggs IV, PT, ATC is a Physical Therapist in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7373 W Ln
Stockton, CA 95210-3377
Phone: (209) 476-3264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 34900 (CA)

Record details

NPI number1235375197
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorYes
NPI enumeratedDecember 24, 2008
Last updated in NPPESFebruary 11, 2022

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