Starla Lorraine Nelson, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

17087 Issued in CA

Practice address

34213 Yucaipa Blvd Ste a
Yucaipa, CA 92399-2494

Phone

(909) 797-9010

NPI assigned

Aug 13, 2008

Last updated

Oct 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adorador Enterprises IncGroup PAC ID 4183651276, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adorador Enterprises Inc

  • Physical Therapy Clinic/Center
  • Beaumont, CA
  • NPI 1861402950
  Medicare reassignment Care Compare group
• Aegis Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Cathedral City, CA
  • NPI 1477753861
  NPD (past)
• Optimum Physical Therapy & Wellness

  • Physical Therapist
  • Yucaipa, CA
  • NPI 1215071485
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1922254630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34213 YUCAIPA BLVD STE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992494",
            "telephone_number": "909-797-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34213 YUCAIPA BLVD STE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992494",
            "telephone_number": "909-797-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STARLA",
        "middle_name": "LORRAINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "17087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allanna Nava
• Olivia Dolores Navarrete
• Neal a Johnson DDS Inc. (Posh Pearl Family Dental Studio)
• Alycia Dae Neidlinger, BC-HIS
• Gina Neikirk
• Neonatology Medical Group Inc (Tots to Teens Pediatrics)
• Neonatology Medical Group, Inc (Inland Empire Pediatric Hospitalist Group, Inc)
• Ngab Medical Corp
• Anthony Nguyen
• Quinn Nguyen

• Physical Medicine & Rehabilitation Physician in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.

Verify at the official NPI Registry.