SCPT STAR CARE PHYSICAL THERAPY, INC. (NPI# 1750503447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750503447 |
| Entity Type | Organization |
| Organization Name | SCPT STAR CARE PHYSICAL THERAPY, INC. |
| Other Organization Name | STAR CARE PHYSICAL THERAPY |
| Practice Address |
620 N Grant Ave Ste 100 Odessa TX 79761-4541 |
| Practice Telephone | 4325807707 |
| Practice Fax Number | 4325807937 |
| Mailing Telephone | 4325807707 |
| Mailing Fax Number | 4325807937 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAVI SHAKAMURI (ADMINISTRATOR) |
| Authorized Official Telephone | 4325807707 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Star Care Physical Therapy | Doing Business As Name - Organization |
| Street Address |
620 N GRANT AVE STE 100 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417179292 | Star Hospice, Inc. | Hospice Care, Community Based | 620 N Grant Ave Ste 100, Odessa, TX 79761-4541 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699920330 | Big Country Rehabilitation, Inc. | Clinic/Center | 801 N Grant Ave Ste B, Odessa, TX 79761-4045 | 2008-11-21 |
| 1578979183 | Tri-physical Therapy and Wellness Center LLC | Clinic/Center | 4555 E University Blvd Ste C7, Odessa, TX 79762-8137 | 2014-07-02 |
| 1942548458 | Ascend Rehab & Therapy LLC | Clinic/Center | 1330 East 8th Street, #111, Odessa, TX 79761 | 2013-01-18 |
| 1235463639 | Rehab-back Care Institute of West Texas | Clinic/Center | 1030 N Grandview Ave, Odessa, TX 79761-3149 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| 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.