FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC (NPI# 1669980983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669980983 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC |
| Other Organization Name | AGEILITY PHYSICAL THERAPY SOLUTIONS AT CORAL OAKS |
| Practice Address |
900 West Lake Road Palm Harbor FL 34684-3142 |
| Practice Telephone | 7277873333 |
| Practice Fax Number | 7277843430 |
| Mailing Telephone | 7277873333 |
| Mailing Fax Number | 7277843430 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2019-04-05 |
| 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 |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ageility Physical Therapy Solutions at Coral Oaks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970887 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 4960 Jot Em Down Rd, Cumming, GA 30041-3004 | 2018-01-22 |
| 1275044158 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 7410 Skidaway Rd, Savannah, GA 31406-6446 | 2017-10-18 |
| 1497274997 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 10914 Kingston Pike, Knoxville, TN 37934-2944 | 2017-09-15 |
| 1144356759 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 269 Stevens St, Hyannis, MA 02601-3740 | 2007-02-26 |
| 1760959993 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 3501 N Highway 81, Anderson, SC 29621-4419 | 2018-10-25 |
| 1063923944 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 6001 E Thomas Rd, Scottsdale, AZ 85251-7511 | 2017-10-18 |
| 1235640111 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 24552 Paseo De Valencia, Laguna Hills, CA 92653-4236 | 2017-10-18 |
| 1134630015 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 1250 W Central Rd, Arlington Heights, IL 60005-2489 | 2017-10-18 |
| 1265943146 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 8151 E Speedway Blvd, Tucson, AZ 85710-3323 | 2017-10-18 |
| 1255854592 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 2744 S 17th St, Wilmington, NC 28412-6606 | 2017-07-19 |
| 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 WEST LAKE ROAD |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34684-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042147 | Patrick Curry | Nurse Practitioner | 2815 Us-19 Alt, Suite B, Palm Harbor, FL 34684 | 2020-08-05 |
| 1649897059 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2375 Curlew Road, Palm Harbor, FL 34684 | 2020-07-01 |
| 1679068142 | Barbara Purcell | Hearing Instrument Specialist | 34026 Us Hwy 19 N, Palm Harbor, FL 34684 | 2018-06-27 |
| 1134623507 | Virginia Lynn Kappel | Behavior Technician | 3371 Preakness Place, Apt. 1309, Palm Harbor, FL 34684 | 2018-03-21 |
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1821512088 | Robin Ann Polizzi | Registered Nurse | 3474 Rolling Trail, Palm Harbor, FL 34684 | 2017-07-31 |
| 1699202846 | Allied Care Services, LLC | Non-emergency Medical Transport (VAN) | 231 Morgan Ct, Palm Harbor, FL 34684 | 2017-05-18 |
| 1730632522 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 North, Palm Harbor, FL 34684 | 2016-07-27 |
| 1881052983 | Sandra Hanna | Pharmacist | 2583 Country Grove Blvd, Palm Harbor, FL 34684 | 2016-02-03 |
| 1629453469 | Jesse H Rodriguez | Nurse Practitioner | 2595 Tampa Rd. Suite S&t, Palm Harbor, FL 34684 | 2015-07-22 |
| Find all providers in zip 34684 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457750259 | I Rehab Now LLC | Clinic/Center | 31608 Us 19, Palm Harbor, FL 34684 | 2014-08-18 |
| 1770872509 | Impact Health and Performance, LLC | Clinic/Center | 180 Alt 19n, Suite B, Palm Harbor, FL 34683-5308 | 2011-04-01 |
| 1184750374 | Bask Rehabilitation LLC | Clinic/Center | 1114 Florida Ave Ste C, Palm Harbor, FL 34683-4331 | 2007-02-24 |
| 1306999263 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 31964 Us 19 North, Palm Harbor, FL 34684 | 2007-01-22 |
| 1932109071 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 3488 E Lake Rd, Suite 301, Palm Harbor, FL 34685-2404 | 2005-07-29 |
| 1033619846 | St Mark Village Inc | Clinic/Center | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2018-02-19 |
| 1730372137 | Bask Rehabilitation Services, Inc. | Clinic/Center | 1114 Florida Ave, Suite C, Palm Harbor, FL 34683-4331 | 2007-08-20 |
| 1922190792 | Regional Rehabilitation Services Pa | Clinic/Center | 4705 Alt 19, Suite A, Palm Harbor, FL 34683-1440 | 2006-09-29 |
| 1437264520 | Performance Rehab Institute & Sports Medicine, Inc. | Clinic/Center | 3450 E Lake Rd, Suite 101, Palm Harbor, FL 34685-2411 | 2006-08-20 |
| 1306851001 | Atlas Physical Therapy Inc. | Clinic/Center | 2626 Tampa Rd, Suite-203a, Palm Harbor, FL 34684-3155 | 2006-07-30 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34684 |
Please comment or provide details below to improve the information on FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
| 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.