BLUE STARS THERAPY, LLC (NPI# 1194258467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194258467 |
| Entity Type | Organization |
| Organization Name | BLUE STARS THERAPY, LLC |
| Practice Address |
1101 Edward Ter Apt A Saint Louis MO 63117-1520 |
| Practice Telephone | 3146509288 |
| Mailing Telephone | 3146509288 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | MS. BRIDGET MARY HORMBERG (CO-OWNER/CO-FOUNDER) |
| Authorized Official Telephone | 3146509288 |
| Authorized Official Credential | MOT, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 2014027319 | MO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| Street Address |
1101 EDWARD TER APT A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760620272 | A To Z Therapy Services, LLC | Early Intervention Provider Agency | 5841 Julian Ave, Saint Louis, MO 63112-2503 | 2009-01-22 |
| 1568630218 | Taylors In Home Health Care LLC | Early Intervention Provider Agency | 6 Trampe Hill Dr, Saint Louis, MO 63138-2672 | 2008-02-15 |
| 1285014654 | Kailie Asam | Early Intervention Provider Agency | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2015-06-01 |
| 1467859090 | Kathy Ann Gallagher | Early Intervention Provider Agency | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2014-11-25 |
| 1750799003 | Childgarden Child Development Center | Early Intervention Provider Agency | 4150 Laclede Ave, Saint Louis, MO 63108-2813 | 2014-07-31 |
| 1801223821 | Kelly Wood | Early Intervention Provider Agency | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2013-10-04 |
| 1811262660 | Central Institute for The Deaf | Early Intervention Provider Agency | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2012-03-13 |
| 1710266184 | Central Institute for Teh Deaf | Early Intervention Provider Agency | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1710348941 | Emmanuel Family & Child Development Center and Emergency Shelter for C | Early Intervention Provider Agency | 2416 Swope Pkwy, Kansas City, MO 64130-2639 | 2016-03-16 |
| 1356758494 | Wonderfully Made Pediatrics | Early Intervention Provider Agency | 1215 Dornewood Pl, Ballwin, MO 63021-6879 | 2014-07-21 |
| 1659792075 | Aspire Therapy LLC | Early Intervention Provider Agency | 1278 Nw Vivion Rd, Kansas City, MO 64118-4551 | 2014-01-02 |
| 1043649668 | Cathlin Hayes | Early Intervention Provider Agency | 430 Briar Crest Dr, Jackson, MO 63755-1175 | 2013-11-04 |
| 1437412368 | First Steps | Early Intervention Provider Agency | 8 Amazon Dr, Columbia, MO 65202-6220 | 2012-06-15 |
| 1427352640 | Central Missouri Community Action | Early Intervention Provider Agency | 807 N Providence Rd, Ste. B, Columbia, MO 65203-4359 | 2011-01-03 |
| 1609198043 | Turning Point, Inc | Early Intervention Provider Agency | 3403 N Belton Ave, Riverside, MO 64150-9502 | 2010-02-26 |
| 1952623795 | Progressive Rehab Solutions LLC | Early Intervention Provider Agency | 1310 Harting Dr, Florissant, MO 63031-1970 | 2010-02-22 |
| 1669604203 | Sally Marie Crumb | Early Intervention Provider Agency | 14360 County Road 408, Amazonia, MO 64421-8119 | 2009-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.