Active NPI
Raemar V Coloma
- Physical Therapist
- Desert Hot Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302998
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CRaemar@allstarphysicaltherapy.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 302998 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On the Move Rehab | Physical Therapist | Current | Accepting new patients |
| Elite Physical Therapy and Wellness, Inc. | Physical Therapist | Current | Accepting new patients |
| All Star Physical Therapy | Physical Therapist | Current | 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
- 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.
-
- Physical Therapist
- La Quinta, CA
- NPI 1780702209
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.