Active NPI
Kristel Zuppan, DPT
- Physical Therapist
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34930
- Practice address
- 245 Terracina Blvd
Suite 105
Redlands, CA 92373-4852 - Phone
- (909) 792-9737
- NPI assigned
- Sep 13, 2011
- 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 | PT34930 | CA | Primary |
Addresses
Primary practice location
245 Terracina Blvd
Suite 105
Redlands, CA 92373-4852
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Terracina Blvd
Suite 105
Redlands, CA 92373-4879
Phone (909) 792-9737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34930 | CA | MD | Chiropractor |
| PT34930 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Physical Therapist | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Past | Accepting new patients |
Locations
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102
245 Terracina Blvd
Ste 105
Redlands, CA 92373
Phone (909) 335-4102
2 W Fern Ave
#1112
Redlands, CA 92373
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1841572161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 TERRACINA BLVD",
"address_2": "SUITE 105",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734852",
"telephone_number": "909-792-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPPAN",
"first_name": "KRISTEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34930",
"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 Apr 20, 2026; 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.