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

Individual provider Physical Therapist · NPI 1073534905

Willis Mark Sutcliff, MPT, ATC is a Physical Therapist in Private Practice in Orange, California. Qualified in 2001, 25 years ago. Practices with Impact Rehabilitation Center Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

255 N Tustin St
Orange, CA 92867-7772
Phone: (714) 288-9125
Fax: (714) 288-9129
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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 PT26858 (CA)

Record details

NPI number1073534905
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , ATC
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Impact Rehabilitation Center Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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