Active NPI
Doreen Spearman, PT
- Pediatric Rehabilitation Medicine Physician
- Yucaipa, CA
National Provider Identifier
1891265989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 10699
- Practice address
- 34590 County Line Rd Ste 7
Yucaipa, CA 92399-5398 - Phone
- (909) 795-4255
- Fax
- (900) 795-4438
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 10699 | CA | Primary |
Addresses
Primary practice location
34590 County Line Rd Ste 7
Yucaipa, CA 92399-5398
Mailing address
PO Box 1427
Yucaipa, CA 92399-1427
Phone (909) 795-4255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609180397 | Other | PHYSICAL THERAPY; EARLY INTERVENTION |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1891265989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1427",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923991427",
"telephone_number": "909-795-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34590 COUNTY LINE RD STE 7",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923995398",
"telephone_number": "909-795-4255",
"fax_number": "900-795-4438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARMAN",
"first_name": "DOREEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "10699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY; EARLY INTERVENTION",
"identifier": "1609180397",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.