NORTHSTAR REHABILITATION, INC. (NPI# 1023448255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023448255 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR REHABILITATION, INC. |
| Practice Address |
25435 Pine Creek Ln Wilmington CA 90744-1855 |
| Practice Telephone | 3105679498 |
| Mailing Telephone | 3105679498 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | MR. GUILLERMO SISON III (PT) |
| Authorized Official Telephone | 3105679498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT29373 | CA | Ambulatory Health Care Facilities |
| Street Address |
25435 PINE CREEK LN |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821250879 | Guillermo Laude Sison IIi | Physical Therapist | 25435 Pine Creek Ln, Wilmington, CA 90744-1855 | 2008-07-01 |
| 1386074425 | Melanie Sison | Physical Therapy Assistant | 25435 Pine Creek Ln, Wilmington, CA 90744-1855 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092755 | Nxt Lvl Therapy LLC | Clinic/Center | 4723 Concord Pike Unit 8, Wilmington, DE 19803-1446 | 2020-04-20 |
| 1174183958 | Revive Health & Wellness LLC | Clinic/Center | 2502 Silverside Rd Ste 4b, Wilmington, DE 19810-3740 | 2019-06-14 |
| 1568925220 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 2627 S South St, Wilmington, OH 45177-2926 | 2019-04-10 |
| 1174000210 | Omega Project Pt | Clinic/Center | 1806 N Van Buren St Ste 100, Wilmington, DE 19802-3851 | 2018-07-22 |
| 1104324482 | Iopt, LLC | Clinic/Center | 3973a Market St Bldg D, Wilmington, NC 28403-1403 | 2018-01-31 |
| 1285159541 | James Lolli Jr. | Clinic/Center | 1401 Foulk Rd Ste 203, Wilmington, DE 19803-2764 | 2017-08-08 |
| 1902332927 | Hartnett Physical Therapy | Clinic/Center | 800 Woodlawn Ave Ste B, Wilmington, DE 19805-2815 | 2017-05-11 |
| 1578920138 | Connections Physical Therapy, LLC | Clinic/Center | 3600 S College Rd, Ste E #392, Wilmington, NC 28412-5240 | 2016-01-26 |
| 1255749438 | Falcon Therapy and Fitness LLC | Clinic/Center | 4602 Big Rock Dr, Wilmington, DE 19802-1004 | 2014-07-31 |
| 1881032142 | Whole Health P.l.l.c. | Clinic/Center | 3715 Patriot Way Ste 141, Wilmington, NC 28412-6901 | 2013-06-10 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.