NPIMap

Organization Active NPI

Star Rehabilitation Corp

  • Orthopedic Physical Therapist
  • Murrieta, CA
National Provider Identifier
1093886459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
STAR REHABILITATION CORP
Practice address
25389 Madison Ave
Ste. 101
Murrieta, CA 92562-9006
Phone
(951) 600-7900
Fax
(951) 600-7908
NPI assigned
Nov 10, 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
James Lee Ko, P.T.NPI 1861579690
Title
President
Phone
(951) 600-7900

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

25389 Madison Ave
Ste. 101
Murrieta, CA 92562-9006

Mailing address

PO Box 79396
Corona, CA 92877-0179
Phone (951) 600-7900

Other names 1

  • star physical therapy Doing business as

National Provider Directory

National Provider Directory

Locations

25389 Madison Ave
Ste 101
Murrieta, CA 92562
Phone (800) 280-1339

Practitioners & affiliated clinicians

Practitioners 4

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093886459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79396",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770179",
            "telephone_number": "951-600-7900",
            "fax_number": "866-319-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25389 MADISON AVE",
            "address_2": "STE. 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629006",
            "telephone_number": "951-600-7900",
            "fax_number": "951-600-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR REHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-600-7900",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "star physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

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.