STAR CLINIC
NPI 1013047240
Physical Therapist in Orange, CA

Active since March 06, 2007
871 S TUSTIN ST, ORANGE, CA 92866(714) 633-7227(714) 633-9062 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2023, Apr 11, 2018 (2 updates tracked since 2018).

About Star Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR CLINIC (NPI 1013047240) is a healthcare organization registered as a physical therapist in Orange, California and active in the NPI registry since March 2007. The organization lists Bobby Ismail, President, as its authorized official.

NPPES Registry Identity

NPI1013047240
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSPORTS CONDITIONING AND REHABILITATION OF CALIFORNIA INC
Location Address871 S TUSTIN STOrange, CA 92866-3426
Mailing Address871 S Tustin StOrange, CA 92866-3426 · (714) 633-7227 · Fax (714) 633-9062
Fax(714) 633-9062
Organization SubpartNo
Authorized OfficialBobby IsmailPresident · (209) 353-1988
Enumeration DateMarch 6, 2007
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1013047240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
871 S TUSTIN ST, Orange, CA 92866

Other Names 1

Doing Business AsStar Clinic

Other Identifiers 1

MedicaidPT0175090CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Star Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Star Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Physical Therapist in Private Practice
NPI 1124541016
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1720852569
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1346675485
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1952688475
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1053019349
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1528553864
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1558541599
871 S TUSTIN ST
Orange, CA 92866
(714) 633-7227
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1861498644
1178 N TUSTIN ST
Orange, CA 92867
(714) 543-0542
✔ Accepts Medicare2.3 mi
Physical Therapist in Private Practice
NPI 1295244739
1085 W EL CAMINO REAL
Sunnyvale, CA 94087
(408) 523-3060
✔ Accepts Medicare340 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports Conditioning And Rehabilitation Of California Inc's NPI number?

The NPI number for Sports Conditioning And Rehabilitation Of California Inc is 1013047240. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Star Clinic.

Where is Sports Conditioning And Rehabilitation Of California Inc located?

Sports Conditioning And Rehabilitation Of California Inc is located at 871 S Tustin St, Orange, CA 92866. The listed phone number is (714) 633-7227.

What is Sports Conditioning And Rehabilitation Of California Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sports Conditioning And Rehabilitation Of California Inc enrolled in Medicare?

Yes. Sports Conditioning And Rehabilitation Of California Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports Conditioning And Rehabilitation Of California Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Sports Conditioning And Rehabilitation Of California Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sports Conditioning And Rehabilitation Of California Inc was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.