FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. (NPI# 1699242735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699242735 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. |
| Other Organization Name | AGEILITY PHYSICAL THERAPY SOLUTIONS AT DAYTON PLACE |
| Practice Address |
1950 S Dayton St Aurora CO 80247-3452 |
| Practice Telephone | 6177968387 |
| Mailing Telephone | 6177968387 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | KATHERINE E POTTER (PRESDIENT & 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 Aurora | Doing Business As Name - Organization |
| Ageility Physical Therapy Solutions at Dayton Place | 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 |
1950 S DAYTON ST |
| City | AURORA |
| State | CO |
| Zip Code | 80247-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887123 | Kimberly Hodoval | Occupational Therapist | 1950 S Dayton St, Aurora, CO 80247-3452 | 2009-09-29 |
| 1598114084 | Mika Lynn Walstad | Occupational Therapy Assistant | 1950 S Dayton St, Aurora, CO 80247-3452 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1316462336 | Bonnie Doman | Acupuncturist | 9300 E Florida Ave Unit 401, Denver, CO 80247 | 2017-08-10 |
| 1235669847 | Met Transport | Non-emergency Medical Transport (VAN) | 630 S Dayton St, Apt 16-205, Denver, CA 80247 | 2017-06-15 |
| 1144752429 | Phoenix Medical Supply | Durable Medical Equipment & Medical Supplies | 7950 E. Missississippi Ave., Unit-d, Denver, CO 80247 | 2017-03-28 |
| 1023479730 | Francesca Celupica | Counselor | 9071 E Mississippi Ave 31c, Noesis: Integrated Psychotherapy Services, Denver, CO 80247 | 2016-03-09 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1538539382 | Alpine Limousine LLC | Non-emergency Medical Transport (VAN) | 9915 E Mexico Ave, Denver, CO 80247 | 2015-10-05 |
| 1528438082 | Yonas Tadesse Taye | Non-emergency Medical Transport (VAN) | 8680 E Alameda Ave Unit# 1606, Denver, CO 80247 | 2015-09-28 |
| Find all providers in zip 80247 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
| 1245764950 | Hesch Institute | Clinic/Center | 25837 E Maple Pl, Aurora, CO 80018-4596 | 2017-04-19 |
| 1750746756 | Debra Ganoe | Clinic/Center | 4543 South Abilene Cr., Aurora, CO 80015 | 2015-12-18 |
| 1629408133 | Totally Mobile Pt, LLC | Clinic/Center | 3573 S Olathe Way, Aurora, CO 80013-2846 | 2013-11-19 |
| 1568729986 | Tricare Medical Group of Midwest Inc. | Clinic/Center | 3535 East New York Street, Suite 119, Aurora, IL 60504-4427 | 2012-04-23 |
| 1457567653 | Cherry Creek Physical Therapy, PC | Clinic/Center | 12371 E Cornell Ave, Building 15, Aurora, CO 80014-3323 | 2007-05-15 |
| 1851436463 | Occupational Health Center of The Southwest Pa PC | Clinic/Center | 3350 Peoria Street, Aurora, CO 80010 | 2007-02-21 |
| 1023029923 | Occupational Health Centers of Illinois PC | Clinic/Center | 4000 Ogden Avenue, Aurora, IL 60504 | 2006-08-10 |
| 1962412726 | Us Pt Therapy Services, Inc. | Clinic/Center | 3150 N Aurora Rd, Suite B, Aurora, IL 60502-3800 | 2006-08-08 |
| 1770530206 | Southlands Physical Therapy LLC | Clinic/Center | 24743 E Quarto Pl, Aurora, CO 80016-7168 | 2006-05-29 |
| Find all providers in AURORA | ||||
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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.