Star Mobility Prosthetics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAR MOBILITY PROSTHETICS LLC

Practice address

1707 Grandstand Dr
San Antonio, TX 78238-4707

Phone

(210) 251-3565

Fax

(210) 239-2820

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jesse Benitez Jr.

Title

Owner

Phone

(210) 852-1664

Specialties & licenses 1

Addresses

Tax ID family

Star Mobility Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Star Mobility Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Katy, TX
  • NPI 1568023521
  NPD tax ID

Locations

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1194559815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 GRANDSTAND DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384707",
            "telephone_number": "210-251-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GRANDSTAND DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384707",
            "telephone_number": "210-251-3565",
            "fax_number": "210-239-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MOBILITY PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-852-1664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lee Stanzel
• Heidi Denise Staples, LPC
• Shelby Staples, PA-C
• Star Anesthesia, PA.
• Star Choice Dental
• Star Nickel Corp
• Star Nickel Corp
• Star Rise Primary Care PLLC
• Star Team Intensive Care and Hospitalist PLLC
• Luz Starck, MD

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

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