Five Star Rehabilitation and Wellness Services, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.

Doing business as

Ageility Physical Therapy Solutions at The Montevista at Coronado

Practice address

1575 Belvidere St
El Paso, TX 79912-2649

Phone

(915) 833-2229

NPI assigned

Mar 29, 2019

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.As reported in NPPES

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

Authorized official

Name

Jeffrey C. Leer

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Ageility Physical Therapy Solutions at The Montevista at Coronado Doing business as

Part of

Five Star Rehabilitation and Wellness Services LLC

Locations

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1124589296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 230",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581644",
            "telephone_number": "617-796-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BELVIDERE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122649",
            "telephone_number": "915-833-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LEER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageility Physical Therapy Solutions at The Montevista at Coronado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ageility Physical Therapy Solutions at The Montevista at Coronado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Vaughn Fitzpatrick, D.O.
• Priscilla Iris Fitzpatrick, RBT
• Shane Garret Fitzpatrick, ATC, NASM-CPT
• Five Points Health Center
• Five Points Urgent Care
• Amina Fix
• Bess Sirmon Fjordbak, PHD, CCC-SLP
• Skylyn Elizabeth Borne Flageolle
• Stephen Francis Flaherty, MD
• Tricia D Flake, LCSW, ASOTP

• Physical Therapy Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.