FERN M O SUGITA (BS OTRL) – Occupational Therapist, NPI 1568420867

FERN M O SUGITA (BS OTRL) is a healthcare provider. based in Fircrest, Washington. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials BS OTRL. They hold a License No. OT00001268 (WA). The NPI Number for FERN M O SUGITA (BS OTRL) is 1568420867

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
FERN M O SUGITA (BS OTRL)
NPI
1568420867
Phone
(253) 564-1560
Address
4040 ORCHARD ST W
Enumeration Date
3 May 2006
Last Update Date
17 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
2466400569
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20050105000677
Address ID
WA983351706GI4700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

460 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for FERN M O SUGITA (BS OTRL)

  • 4040, Orchard Street West, Fircrest, Pierce County, Washington, 98466, United States

    SUITE 100

    FIRCREST, WA 984666606

    Phone: (253) 564-1560

    Fax: (253) 564-4449

    Type: Mailing

  • MVP Physical Therapy, 7308, Bridgeport Way West, Chandlewych Glen, Lakewood, Pierce County, Washington, 98499-8398, United States

    SUITE 203

    LAKEWOOD, WA 984998000

    Phone: (253) 582-8500

    Fax: (253) 582-8506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050105000677IOccupational Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities21934$0
97140Therapy procedure using manual technique, each 15 minutes17440$0
97535Training for self-care or home management, each 15 minutes3121$0
97165Evaluation for occupational therapy, typically 30 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 98466)

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Provider's Procedures

FERN M O SUGITA (BS OTRL) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes22136

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

How do payers reference FERN M O SUGITA (BS OTRL)?
For FERN M O SUGITA (BS OTRL), use NPI 1568420867 as the unique 10-digit identifier.
Is there an active status for FERN M O SUGITA (BS OTRL)?
For scheduling context, FERN M O SUGITA (BS OTRL) is shown as active in the registry.
What clinical focus is listed for FERN M O SUGITA (BS OTRL)?
At a glance, FERN M O SUGITA (BS OTRL) is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is FERN M O SUGITA (BS OTRL) associated with Fircrest?
Public fields place FERN M O SUGITA (BS OTRL) around Fircrest, Washington. Always confirm the exact site before visiting.
Does FERN M O SUGITA (BS OTRL) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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