NPIMap

Organization Active NPI

Star Physical Therapy P.a.

  • Physical Therapy Clinic/Center
  • Medford, NJ
National Provider Identifier
1043312127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STAR PHYSICAL THERAPY P.A.
Practice address
176 Route 70
Suite 10
Medford, NJ 08055-8704
Phone
(609) 714-7733
Fax
(609) 714-7750
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph M Moore, MPTNPI 1124130315
Title
PT Office Manager
Phone
(609) 714-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

176 Route 70
Suite 10
Medford, NJ 08055-8704

Mailing address

176 Route 70
Suite 10
Medford, NJ 08055-8704
Phone (609) 714-7733

National Provider Directory

National Provider Directory

Locations

180 Route 70
Ste 6A
Medford, NJ 08055
Phone (609) 714-7730

127 Ark Rd
Ste 23
Mount Laurel, NJ 08054
Phone (609) 714-7730

1288 Route 73
Ste 201
Mount Laurel, NJ 08054
Phone (609) 714-7733

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043312127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ROUTE 70",
            "address_2": "SUITE 10",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558704",
            "telephone_number": "609-714-7733",
            "fax_number": "609-714-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ROUTE 70",
            "address_2": "SUITE 10",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558704",
            "telephone_number": "609-714-7733",
            "fax_number": "609-714-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PT OFFICE MANAGER",
        "authorized_official_telephone_number": "609-714-7733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.