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

Sydney Loge

Individual provider Physical Therapist · NPI 1881554954

Sydney Loge is a Physical Therapist in Private Practice in San Clemente, California. Qualified in 2025, 1 year ago. Practices with Prosport Physical Therapy Professionals Inc, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

801 Via Suerte Ste 103
San Clemente, CA 92673-6527
Phone: (949) 485-5567
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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 309240 (CA)

Record details

NPI number1881554954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address801 Via Suerte Ste 103, San Clemente, CA 92673-6527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prosport Physical Therapy Professionals Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Clemente