Active NPI
Lena Flair
- Physical Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1679201370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10590 Town Center Dr
Rancho Cucamonga, CA 91730-0360 - Phone
- (909) 948-1124
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
10590 Town Center Dr
Rancho Cucamonga, CA 91730-0360
Mailing address
16565 El Revino Dr
Fontana, CA 92336-5841
Phone (408) 797-4724
Other practice location 1
16565 El Revino Dr
Fontana, CA 92336-5841
Phone (408) 797-4724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1679201370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16565 EL REVINO DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923365841",
"telephone_number": "408-797-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 TOWN CENTER DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300360",
"telephone_number": "909-948-1124"
}
],
"practiceLocations": [
{
"address_1": "16565 El Revino Dr",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923365841",
"country_code": "US",
"telephone_number": "408-797-4724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAIR",
"first_name": "LENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.