SPORTS THERAPY AND ADVANCED REHABILITATION, INC. (NPI# 1265441075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265441075 |
| Entity Type | Organization |
| Organization Name | SPORTS THERAPY AND ADVANCED REHABILITATION, INC. |
| Other Organization Name | STAR PHYSICAL THERAPY |
| Practice Address |
7401 W Highway 71 Ste 130 Austin TX 78735-8260 |
| Practice Telephone | 5122882700 |
| Practice Fax Number | 5122882711 |
| Mailing Telephone | 5122882700 |
| Mailing Fax Number | 5122882711 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | MILISSA R BERRY (OFFICE MANAGER) |
| Authorized Official Telephone | 5122882700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
651590000 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS ID | 0059J | 01 |
| Other Name | Type Code |
|---|---|
| STAR Physical Therapy | Doing Business As Name - Organization |
| Street Address |
7401 W HIGHWAY 71 STE 130 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735-8260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437662 | Nicole Davison | Physical Therapist | 7401 W Highway 71 Ste 130, Austin, TX 78735-8265 | 2017-10-10 |
| 1891127114 | Kyle Babin | Physical Therapist | 7401 W Highway 71 Ste 130, Austin, TX 78735-8265 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| Find all providers in zip 78735 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633518 | At Home Telehealth Pt, Pllc | Clinic/Center | 12815 Woodmere St, Austin, TX 78729-4555 | 2020-06-10 |
| 1508407974 | Valerie Benjamin | Clinic/Center | 5401 La Crosse Ave Bldg C101, Austin, TX 78739-2159 | 2019-10-07 |
| 1326527458 | Resilientrx | Clinic/Center | 4820 Twin Valley Dr, Austin, TX 78731-3539 | 2018-08-09 |
| 1568953230 | Resolution Manual Therapy, Pllc | Clinic/Center | 8901 Ravello Pass, Austin, TX 78749-4959 | 2018-05-29 |
| 1639604218 | Natural Fit Therapy Pllc | Clinic/Center | 13740 Research Blvd Ste V3, Austin, TX 78750-1841 | 2017-04-20 |
| 1417488875 | Agilitas Usa, Inc | Clinic/Center | 1600 W 38th St Ste 132, Austin, TX 78731-6404 | 2017-03-27 |
| 1255874871 | Retrofit Performance Training LLC | Clinic/Center | 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107 | 2016-11-30 |
| 1437607884 | Agilitas Usa Inc. | Clinic/Center | 500 Canyon Ridge Dr Ste B150, Austin, TX 78753-1689 | 2016-09-14 |
| 1962877043 | Cancer Rehab Austin | Clinic/Center | 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 | 2015-12-01 |
| 1346647351 | Shannon Louise Russell | Clinic/Center | 12611 Hymeadow Dr., Austin, TX 78729 | 2014-11-20 |
| Find all providers in AUSTIN | ||||
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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.