FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. (NPI# 1720549892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720549892 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. |
| Practice Address |
2455 N Tamarack Trl Bloomington IN 47408-1294 |
| Practice Telephone | 8123367060 |
| Mailing Telephone | 8123367060 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| 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 Meadowood | 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 |
2455 N TAMARACK TRL |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408-1294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| 1659909679 | Kelly L Brinkley | Physical Therapist | 2455 N Tamarack Trl, Bloomington, IN 47408-1294 | 2020-03-27 |
| 1528612546 | Snh Indy Tenant LLC | Assisted Living Facility | 2455 N Tamarack Trl, Bloomington, IN 47408-1294 | 2019-07-29 |
| 1750870499 | Palt Med | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408-1294 | 2018-05-08 |
| 1225264716 | Aaron Paul Brown | Speech-Language Pathologist | 2455 N Tamarack Trl, Bloomington, IN 47408-1294 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1306830849 | John William Schrader | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Sports Medicine Department, Bloomington, IN 47408 | 2005-09-09 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987255 | Ptworx LLC | Clinic/Center | 5006 S Rogers St, Bloomington, IN 47403-4655 | 2018-10-02 |
| 1013030352 | Physiotherapy Associates Inc | Clinic/Center | 1355 W Bloomfield Rd Ste B, Bloomington, IN 47403-2052 | 2007-04-10 |
| 1518049337 | Illinois Physical Therapy Associates Limited Partnership | Clinic/Center | 3609 General Electric Rd, Suite B, Bloomington, IL 61704-8534 | 2006-10-20 |
| 1487164869 | Vitalrehab Physical Therapy, LLC | Clinic/Center | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2017-10-11 |
| 1316473325 | Embody Boss LLC | Clinic/Center | 128 E 6th St, Bloomington, IN 47408-3311 | 2017-05-11 |
| 1639565971 | Champion Fitness, Inc | Clinic/Center | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2015-04-14 |
| 1700279007 | Delong Wellness, LLC | Clinic/Center | 218 N Rogers St, Bloomington, IN 47404-3969 | 2015-03-11 |
| 1104236165 | Heritage Enterprises, Inc | Clinic/Center | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-04-30 |
| 1861810228 | Rally Physical Therapy LLC | Clinic/Center | 19165 Meander Way, Bloomington, IL 61705-5227 | 2014-04-02 |
| 1134437460 | Institute for Athletic Medicine | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2010-09-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47408 |
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.