Northstar Rehabilitation, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT29373 Issued in CA

Legal business name

NORTHSTAR REHABILITATION, INC.

Practice address

25435 Pine Creek LN
Wilmington, CA 90744-1855

Phone

(310) 567-9498

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Guillermo Sison III

Title

PT

Phone

(310) 567-9498

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1023448255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25435 PINE CREEK LN",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441855",
            "telephone_number": "310-567-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25435 PINE CREEK LN",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441855",
            "telephone_number": "310-567-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "310-567-9498",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT29373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge A Navarrete
• Guy Roger Nelson, D.C.
• Minh Nguyen, D.O.
• Teresa Trang Nguyen, D.C., L. AC. NP
• Northeast Community Clinic
• Iraj Nouri, DDS
• Boj Nueva
• Erin Siobhan O'Hara, D.O.
• Maricela I Ochoa
• Eniola Antonia Ogundipe

• Physical Therapy Clinic/Center in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.