Organization Active NPI

RM Elite Rehab Group, Inc.

  • Physical Therapy Clinic/Center
  • Corona, CA
National Provider Identifier
1306238563
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT27222 Issued in CA
Legal business name
RM ELITE REHAB GROUP, INC.
Practice address
1251 Pomona Rd.
Suite 108
Corona, CA 92882
Phone
(951) 454-3848
Fax
(951) 256-4566
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Ryan Reyes, DPTNPI 1881835858
Title
Ceo
Phone
(951) 454-3848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT27222 CA Primary

Addresses

Primary practice location

1251 Pomona Rd.
Suite 108
Corona, CA 92882

Mailing address

1251 Pomona Rd Ste 108
Corona, CA 92882-7157
Phone (951) 454-3848

Other practice location 1

2079 Wright Ave Ste B4
La Verne, CA 91750-5822
Phone (909) 895-4411

Other identifiers 1

IdentifierTypeStateIssuer
1720094279OtherCAINDIVIDUAL NPI

Other names 1

  • Sports Specific Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527002358 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971823204 Receives reassigned benefits from 3 practitioners
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

1251 Pomona Rd
Ste 108
Corona, CA 92882
Phone (951) 454-3848

1026 Railroad St
Corona, CA 92882
Phone (951) 454-3848

2079 Wright Ave
Ste B4
La Verne, CA 91750
Phone (909) 895-4411

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1306238563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 POMONA RD STE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827157",
            "telephone_number": "951-454-3848",
            "fax_number": "951-256-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 POMONA RD.",
            "address_2": "SUITE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-454-3848",
            "fax_number": "951-256-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2079 Wright Ave Ste B4",
            "address_purpose": "LOCATION",
            "city": "La Verne",
            "state": "CA",
            "postal_code": "917505822",
            "country_code": "US",
            "telephone_number": "909-895-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RM ELITE REHAB GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-454-3848",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT27222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720094279",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Specific Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.