FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC (NPI# 1760959993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760959993 |
| Entity Type | Organization |
| Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC |
| Other Organization Name | AGEILITY PHYSICAL THERAPY SOLUTIONS AT LEGACY ANDERSON |
| Practice Address |
3501 N Highway 81 Anderson SC 29621-4419 |
| Practice Telephone | 8642763501 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-06-30 |
| 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 Legacy Anderson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669980983 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 900 West Lake Road, Palm Harbor, FL 34684-3142 | 2018-01-22 |
| 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 |
| 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 |
3501 N HIGHWAY 81 |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952536765 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3501 N Highway 81, Anderson, SC 29621-4419 | 2009-05-22 |
| 1598393035 | Kayla H Price | Speech-Language Pathologist | 3501 N Highway 81, Anderson, SC 29621-4419 | 2020-03-30 |
| 1770118085 | Cassie Rae Merritt | Physical Therapist | 3501 N Highway 81, Anderson, SC 29621-4419 | 2020-03-06 |
| 1265913040 | Kelsey Nicol Griffith | Occupational Therapist | 3501 N Highway 81, Anderson, SC 29621-4419 | 2018-08-28 |
| 1538689427 | Kelly Martin Gaber | Physical Therapy Assistant | 3501 N Highway 81, Anderson, SC 29621-4419 | 2017-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1053484824 | Magnolia Physical Therapy,pa | Clinic/Center | 108 Montgomery Dr, Anderson, SC 29621-3334 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1518430339 | Mary Mattis P T Inc | Clinic/Center | 465 Greenwich Dr, Aiken, SC 29803-6541 | 2019-01-03 |
| 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.