FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. (NPI# 1588123988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588123988 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. |
| Practice Address |
900 43rd Ave Moline IL 61265-6906 |
| Practice Telephone | 3097978181 |
| Mailing Telephone | 3097978181 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| 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 Amber Ridge AL | 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 |
900 43RD AVE |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285833046 | Tamara Gardner | Physical Therapist | 900 43rd Ave, Moline, IL 61265-6906 | 2007-07-12 |
| 1548632250 | Joan Marie Byrne | Physical Therapist | 900 43rd Ave, Moline, IL 61265-6906 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659536456 | Occupational Health Centers of Illinois PC | Clinic/Center | 2430 River Dr, Moline, IL 61265-1564 | 2008-07-22 |
| 1669645743 | Occupational Health Centers of Illinois PC | Clinic/Center | 555 Valley View Drive, Moline, IL 61265-6138 | 2008-04-09 |
| 1962973073 | Beth Shelly Physical Therapy LLC | Clinic/Center | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2018-12-16 |
| 1619337292 | Advanced Physical Therapy Services Ltd | Clinic/Center | 1050 36th Ave, Moline, IL 61265-7126 | 2016-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.