STAR PHYSICAL THERAPY (NPI# 1598079691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598079691 |
| Entity Type | Organization |
| Organization Name | STAR PHYSICAL THERAPY |
| Practice Address |
127 Ark Rd Suite 23 Mount Laurel NJ 08054-6302 |
| Practice Telephone | 8566087733 |
| Practice Fax Number | 8566087750 |
| Mailing Telephone | 8566087733 |
| Mailing Fax Number | 8566087750 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | TOM DEPAULIS (OWNER) |
| Authorized Official Telephone | 8566087733 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 40QA01360800 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992133557 | Star Physical Therapy | Chiropractor | 32 Central Ave, Chelsea, MA 02150-3203 | 2013-10-17 |
| 1679691240 | Star Physical Therapy | Physical Therapist | 340 Falconer Dr, Covington, LA 70433 | 2007-03-26 |
| 1730267204 | Star Physical Therapy | Physical Therapist | 1779 Woodside Rd, Suite #102, Redwood City, CA 94061-3461 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Star Physical Therapy LLC | 7644 Patriots Landing Pl, Quinton, Virginia 23141 |
| Indiana Business Entities | STAR PHYSICAL THERAPY, LP | 1300 W Sam Houston Pwky S, Ste 300, Houston, TX 77042 |
| Street Address |
127 ARK RD SUITE 23 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659351757 | Elaine Karen Kravitz | Allergy & Immunology | 127 Ark Rd, Suite 1, Mount Laurel, NJ 08054-6302 | 2006-01-17 |
| 1154936144 | Morgan Tyson | Physical Therapist | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2020-09-15 |
| 1003465881 | Gong Chen | Physical Therapist | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2019-09-05 |
| 1821598582 | Christopher D Joerg | Physical Therapist | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2018-02-19 |
| 1548660376 | Andrew Jamanow | Physical Therapist | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2014-08-29 |
| 1912242090 | Danielle Sarver | Physical Therapist | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2012-11-30 |
| 1558678490 | Robert J Endt Jr. | Physical Therapist | 127 Ark Rd, Ste 23, Mount Laurel, NJ 08054-6302 | 2010-09-13 |
| 1023218526 | Eee Associates, LLC | Pharmacy | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2007-07-23 |
| 1609090083 | Jerry Katz | Pharmacist | 127 Ark Rd, Mount Laurel, NJ 08054-6302 | 2007-04-13 |
| 1598989279 | Patricia Aileen Baylis | Physical Therapist | 127 Ark Rd, Suite 23, Mount Laurel, NJ 08054-6302 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750443214 | Pulmonary and Sleep Physicians of South Jersey, Pa | Specialist | 204 Ark Rd Bldg I, Ste 206, Mount Laurel, NJ 08054-3100 | 2006-12-14 |
| 1306874698 | Paula Susan | Specialist | 9 Fulton Dr, Mount Laurel, NJ 08054-4510 | 2006-06-28 |
| 1659356905 | Kathleen L Ryan | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-09 |
| 1134602816 | Argus Monitoring Associates LLC | Specialist | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2018-09-10 |
| 1730460700 | Jose A Escalona Md Pa LLC | Specialist | 115 Union Mill Rd, Mount Laurel, NJ 08054-6299 | 2011-09-06 |
| 1164679445 | Sleepcare Center Inc. | Specialist | 130 Gaither Dr, Ste: 124, Mount Laurel, NJ 08054-1715 | 2008-08-19 |
| 1427076553 | Rancocas Anesthesiology, P.a. | Specialist | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2006-07-17 |
| 1356398440 | Persante Sleep Care, Inc. | Specialist | 130 Gaither Dr, Suite 124, Mount Laurel, NJ 08054-1715 | 2006-05-27 |
| 1366427007 | Douglas J Cohen | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-14 |
| 1063497329 | Scott B Chelemer | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-09 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
Please comment or provide details below to improve the information on STAR PHYSICAL THERAPY.
| 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.