Organization Active NPI

Texas Star Rehab and Performance Center, LLC

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1083222780
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEXAS STAR REHAB AND PERFORMANCE CENTER, LLC
Practice address
3365 Regent Blvd Ste 130
Irving, TX 75063-3127
Phone
(201) 744-5549
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Rushi Shahiwala, PTNPI 1255622973
Title
Practice Owner
Phone
(201) 744-5549

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3365 Regent Blvd Ste 130
Irving, TX 75063-3127

Mailing address

3365 Regent Blvd
Ste #130
Irving, TX 75063-3127
Phone (469) 647-4833

Other identifiers 3

IdentifierTypeStateIssuer
416780102MedicaidTX
416780101MedicaidTX
458058172OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922000837 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951729086 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1083222780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD",
            "address_2": "STE #130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "469-647-4833",
            "fax_number": "469-647-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "201-744-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS STAR REHAB AND PERFORMANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAHIWALA",
        "authorized_official_first_name": "RUSHI",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "201-744-5549",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416780102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416780101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "458058172",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.