Five Star Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT30070 Issued in FL

Legal business name

FIVE STAR PHYSICAL THERAPY

Practice address

236 Ponte Vedra Park Dr
Suite 300
Ponte Vedra, FL 32082-6619

Phone

(904) 280-3440

Fax

(904) 280-3444

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Melissa Roberson

Title

Office Manager

Phone

(904) 280-3440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew C Serlo, MPT

  • Physical Therapist
  • Ponte Vedra, FL
  • NPI 1790894418
  NPD

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1225420623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PONTE VEDRA PARK DR",
            "address_2": "SUITE 300",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320826619",
            "telephone_number": "904-280-3440",
            "fax_number": "904-280-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PONTE VEDRA PARK DR",
            "address_2": "SUITE 300",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320826619",
            "telephone_number": "904-280-3440",
            "fax_number": "904-280-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-280-3440"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT30070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Fay, P.T.
• Femmewell Holdings LLC
• Naara Ferguson, RN
• Michael Filipkowski
• First Coast Home Care, LLC
• Papatya C Fix, RPH
• Flagler Professional Health Care Services Inc.
• Flagler Professional Health Care Services, Inc.
• Kathryn Fleming Hanson, PSY.D.
• Kerri Michele Fleming, PT, DPT

• Physical Medicine & Rehabilitation Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.