Organization Active NPI

All Star Physical Therapy Inc

  • Physical Therapist
  • Ashtabula, OH
National Provider Identifier
1124347737
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALL STAR PHYSICAL THERAPY INC
Practice address
416 W 27TH St
Ashtabula, OH 44004-4975
Phone
(440) 650-1884
Fax
(440) 997-5486
NPI assigned
May 21, 2010
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Tracy Marvin
Title
Billing and Credentialing
Phone
(404) 650-1884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

416 W 27TH St
Ashtabula, OH 44004-4975

Mailing address

416 W 27TH St
Ashtabula, OH 44004-4975
Phone (440) 650-1884

Other practice location 1

9264 Chillicothe Rd # Units56
Kirtland, OH 44094-9277
Phone (440) 276-2020

Other practice location 2

2579 Walter Green Cmns
Madison, OH 44057-2449
Phone (440) 997-5427

National Provider Directory

National Provider Directory

Locations

416 W 27th St
Ashtabula, OH 44004
Phone (440) 650-1884

9264 Chillicothe Rd
#56
Kirtland, OH 44094
Phone (440) 276-2020

2579 Walter Green Cmns
Madison, OH 44057
Phone (440) 466-5447

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1124347737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 27TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044975",
            "telephone_number": "440-650-1884",
            "fax_number": "440-997-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W 27TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044975",
            "telephone_number": "440-650-1884",
            "fax_number": "440-997-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9264 Chillicothe Rd # Units56",
            "address_purpose": "LOCATION",
            "city": "Kirtland",
            "state": "OH",
            "postal_code": "440949277",
            "country_code": "US",
            "telephone_number": "440-276-2020",
            "fax_number": "440-379-7136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2579 Walter Green Cmns",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "OH",
            "postal_code": "440572449",
            "country_code": "US",
            "telephone_number": "440-997-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALL STAR PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING",
        "authorized_official_telephone_number": "404-650-1884"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.