FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. (NPI# 1386289692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386289692 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. |
| Practice Address |
39 Dorothy Dr Troy IL 62294-1389 |
| Practice Telephone | 6186671342 |
| Mailing Telephone | 6186671342 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ageility Physical Therapy Solutions at Morningside of Troy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1750842829 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 16925 Hierba Dr, San Diego, CA 92128-2688 | 2019-03-29 |
| 1689135758 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 700 Mason Headley Rd, Lexington, KY 40504-2326 | 2019-03-29 |
| 1659848844 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1894 S Patrick Dr, Indian Harbour Beach, FL 32937-4324 | 2018-10-26 |
| 1902309859 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3201 Pine Rd Ne, Bremerton, WA 98310-2168 | 2018-03-16 |
| 1639672587 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1810 E Division St, Mount Vernon, WA 98274-6717 | 2018-03-16 |
| 1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
| 1578989950 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3201 Plumas Street, Reno, NV 89509-4785 | 2014-03-10 |
| 1609203595 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 537 Riverdale Ave, Yonkers, NY 10705-5501 | 2013-10-09 |
| 1881935369 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 5455 La Sierra Dr, Dallas, TX 75231-4178 | 2013-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Five Star Rehabilitation and Wellness Services, LLC | 400 Centre Street, Newton, MA 02458 |
| Massachusetts Corporations | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC | 400 Centre St., Newton, MA 02458 |
| Washington State Corporations | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC | 400 Centre St, Newton, MA 02458-2094 |
| Oregon Corporations, Companies and Business Names | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC | 400 Centre St, Newton, MA 02458 |
| Street Address |
39 DOROTHY DR |
| City | TROY |
| State | IL |
| Zip Code | 62294-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356546212 | Wilkinson Fountains Lease Co LLC | Point of Service | 39 Dorothy Dr, Troy, IL 62294-1389 | 2007-06-19 |
| 1629625686 | Snh Lincoln Tenant LLC | Assisted Living Facility | 39 Dorothy Dr, Troy, IL 62294-1389 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
| 1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
| 1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
| 1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
| 1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
| 1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
| 1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
| 1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
| 1992080774 | Larrah Lenn Duckworth | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294 | 2011-10-12 |
| Find all providers in zip 62294 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760022735 | Physical Therapy 212, LLC | Clinic/Center | 10 N Market St Ste D, Troy, OH 45373-3281 | 2020-01-08 |
| 1407359094 | Prime One Physical Therapy LLC | Clinic/Center | 1441 E Maple Rd Ste 102, Troy, MI 48083-4025 | 2018-03-09 |
| 1912445552 | Excellent Therapy Services Pllc | Clinic/Center | 1868 Connolly Dr, Troy, MI 48098-5328 | 2017-02-02 |
| 1770630832 | Able Physical Therapy & Rehab Inc. | Clinic/Center | 3699 Euclid Dr., Troy, MI 48083-5758 | 2007-01-04 |
| 1194734210 | Rehab Associates, LLC | Clinic/Center | 1118b Highway 231 S, Troy, AL 36081-3002 | 2006-08-07 |
| 1912930637 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 627 E Maple Rd, Suite 200, Troy, MI 48083-2812 | 2006-07-08 |
| 1477546729 | Complete Fitness Rehabilitation Inc | Clinic/Center | 1380 Coolidge Hwy Ste L200, Troy, MI 48084 | 2005-08-23 |
| 1295367548 | Tailor-made Physical Therapy | Clinic/Center | 300 Jarvis Ct Ste 6, Troy, IL 62294-1155 | 2020-02-05 |
| 1033768072 | Drayer Physical Therapy Northern Ohio LLC | Clinic/Center | 2355 W Main St, Troy, OH 45373-8484 | 2019-09-11 |
| 1699215939 | Advanced Therapy Services | Clinic/Center | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2017-03-06 |
| Find all providers in TROY | ||||
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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.