MARENA BOCTOR NAKHLA (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1215472576
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
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Provider Addresses for MARENA BOCTOR NAKHLA (DPT)
3732, Yuba River Drive, Creekside Community, Ontario, San Bernardino County, California, 91761, United States
ONTARIO, CA 917610222
Phone: (626) 388-7203
Type: Mailing
6177, River Crest Drive, Riverside, Riverside County, California, 92507, United States
A
RIVERSIDE, CA 925070728
Phone: (951) 653-4480
Fax: (951) 653-5051
Type: Location
23521 PASEO DE VALENCIA
SUITE B7
LAGUNA HILLS, CA 926533125
Phone: (949) 597-0007
Fax: (949) 597-0040
Type: Mailing
31271 NIGUEL RD STE J
LAGUNA NIGUEL, CA 926774135
Phone: (949) 443-5442
Fax: (949) 443-5436
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161228000640 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 417 | 38 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 383 | 39 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 79 | 20 | $0 |
| 97530 | Therapy procedure using functional activities | 60 | 16 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 91761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA |
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