NPIMap

Organization Active NPI

Wonderlab

  • Rehabilitation Clinic/Center
  • Redlands, CA
National Provider Identifier
1497203566
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PT24657 Issued in CA
Legal business name
WONDERLAB
Practice address
10431 Commerce St Ste a
Redlands, CA 92374-0110
Phone
(909) 735-7654
Fax
(909) 796-2122
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Rhonda Nichelle Nelson, PT, PPT, PCS
Title
President
Phone
(909) 735-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X PT24657 CA Primary

Addresses

Primary practice location

10431 Commerce St Ste a
Redlands, CA 92374-0110

Mailing address

10431 Commerce St Ste a
Redlands, CA 92374-0110
Phone (909) 735-7654

National Provider Directory

National Provider Directory

Locations

10421 Corporate Dr
Redlands, CA 92374
Phone (909) 735-7654

101 E Redlands Blvd
Ste 230
Redlands, CA 92373
Phone (909) 735-7654

10431 Commerce St
Ste A
Redlands, CA 92374
Phone (909) 735-7654

Practitioners & affiliated clinicians

Practitioners 9

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1497203566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 COMMERCE ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740110",
            "telephone_number": "909-735-7654",
            "fax_number": "909-342-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 COMMERCE ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740110",
            "telephone_number": "909-735-7654",
            "fax_number": "909-796-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERLAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-735-7654",
        "authorized_official_credential": "PT, PPT, PCS"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "PT24657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.