Individual provider Active NPI

Raemar V Coloma

  • Physical Therapist
  • Desert Hot Springs, CA
National Provider Identifier
1003530262
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302998 Issued in CA
Practice address
13313 Palm Dr Ste B
Desert Hot Springs, CA 92240-5980
Phone
(760) 671-4760
NPI assigned
Sep 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302998 CA Primary

Addresses

Primary practice location

13313 Palm Dr Ste B
Desert Hot Springs, CA 92240-5980

Mailing address

13313 Palm Dr Ste B
Desert Hot Springs, CA 92240-5980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CRaemar@allstarphysicaltherapy.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018001653 CA Practitioner - Physical Therapist in Private Practice 8921474826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical Therapy 149 clinicians

Practice addresses (Care Compare)

3989 W Stetson Ave
Suite 105
Hemet, CA 92545-9697
Phone (951) 652-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302998CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Rehab Physical Therapist CurrentSince Feb 7, 2023 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist CurrentSince Oct 2, 2022 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Sep 30, 2022 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

13313 Palm Dr
Ste B
Desert Hot Springs, CA 92240
Phone (760) 671-4760

3989 W Stetson Ave
Ste 105
Hemet, CA 92545
Phone (951) 652-3334

79440 Corporate Center Dr
Ste 102
La Quinta, CA 92253
Phone (760) 610-8640

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Interoperability endpoints

  • Direct secure messaging: craemar@allstarphysicaltherapy.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1003530262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE B",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE B",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980",
            "telephone_number": "760-671-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMA",
        "first_name": "RAEMAR",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CRaemar@allstarphysicaltherapy.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "13313 Palm Dr Ste B",
            "city": "Desert Hot Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922405980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.