FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. (NPI# 1750842829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750842829 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC. |
| Practice Address |
16925 Hierba Dr San Diego CA 92128-2688 |
| Practice Telephone | 8586736300 |
| Mailing Telephone | 8586736300 |
| 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 The Remington Club | 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 |
| 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 |
| 1740550847 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 8080 Summit Business Pkwy, Jonesboro, GA 30236-4199 | 2012-01-05 |
| 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 |
16925 HIERBA DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534942 | Fatima Adel | Occupational Therapist | 16925 Hierba Dr, San Diego, CA 92128-2688 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1972163426 | Digital Health Physical Therapy Corp | Clinic/Center | 225 Broadway Ste 300, San Diego, CA 92101-5010 | 2019-06-17 |
| 1285126599 | Mel's Physical Therapy, Inc. | Clinic/Center | 5621 Dwight St, San Diego, CA 92105-3843 | 2018-06-01 |
| 1215424213 | New Phyzio Physical Therapy, PC | Clinic/Center | 10801 Thornmint Rd Ste 250, San Diego, CA 92127-2421 | 2018-04-16 |
| 1578082319 | Therapy South, PC | Clinic/Center | 4850 Coronado Ave, San Diego, CA 92107-3316 | 2017-09-13 |
| 1194241679 | Carter Ryan Phillips | Clinic/Center | 3535 General Atomics Ct, San Diego, CA 92121-1140 | 2017-08-16 |
| 1073968582 | Neurotrace | Clinic/Center | 4611 Virginia Ave, San Diego, CA 92115-4130 | 2016-05-03 |
| 1639574189 | Functional Capacity Interventions | Clinic/Center | 4947 Twain Ave, San Diego, CA 92120-4217 | 2014-10-27 |
| 1639573116 | Restoration Physical Therapy | Clinic/Center | 870 Diamond St Apt 105, San Diego, CA 92109-2557 | 2014-10-13 |
| 1124456868 | Catalyst Physical Therapy & Wellness, Inc. | Clinic/Center | 1333 Camino Del Rio S Ste 103, San Diego, CA 92108-3520 | 2013-10-16 |
| Find all providers in SAN DIEGO | ||||
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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.