Marena Boctor Nakhla, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

292549 Issued in CA

Practice address

31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135

Phone

(949) 443-5442

Fax

(949) 443-5436

NPI assigned

Dec 22, 2016

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marena Boctor Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richards Physical Therapy IncGroup PAC ID 8820007156, 7 clinicians

Grace Physical Therapy, Inc.Group PAC ID 4385634443, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grace Physical Therapy, Inc.

  dba Laguna Orthopedic Rehabilitation

  • Specialist
  • Laguna Niguel, CA
  • NPI 1386668739
  Medicare reassignment Care Compare group NPD
• Richards Physical Therapy Inc

  dba DBA Professional Physical Therapy

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1528065588
  Medicare reassignment Care Compare group NPD
• Deborah Weinstein Physical Therapy

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1881961258
  NPD
• Precision Occupational Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • West Covina, CA
  • NPI 1821290024
  NPD (past)
• Richards Physical Therapy Inc

  dba Professional Physical Therapy

  • Orthotic Fitter
  • Mission Viejo, CA
  • NPI 1285820183

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1215472576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31271 NIGUEL RD STE J",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774135",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31271 NIGUEL RD STE J",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774135",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCTOR NAKHLA",
        "first_name": "MARENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "292549",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "292549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARENA",
            "last_name": "BOCTOR",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Bingham, DPT
• James Blair, PHARMD
• Mark Peter Blair, D.P.M.
• Mitchell Blecha, PHARMD.
• Lisa Blessing Kice
• Karina Boeckler
• Jacob Otto Boeckmann, MD
• Annie Boon
• Botros & Ghobrial Dental Center
• Jennifer Bouras

• Physical Medicine & Rehabilitation Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.