Active NPI
Texas Star Rehab and Performance Center, LLC
- Physical Therapist
- Irving, TX
National Provider Identifier
1083222780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rushi Shahiwala, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416780102 | Medicaid | TX | |
| 416780101 | Medicaid | TX | |
| 458058172 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- McKinney, TX
- NPI 1255622973
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
- Texas Occupational Medical Services
- Texas Oncology Care, PLLC
- Texas Pain Psychiatry PLLC
- Texas Physicians Specialized Medicine PLLC
- Texas Primary and Pediatric Care PLLC
- Shamsad Texiwala, MSW, LCSW
- Thuan Thai, CSFA
- Rameshwar Thapa, RN PMHNP-BC
- Nicole Lynn Thaxton, PT
- Hibaa Luqman Thayyil, DO MEDICAL STUDENT
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.