Star PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3114 Issued in HI

Legal business name

STAR PT LLC

Practice address

81-6264 Mamalahoa Hwy
Kealakekua, HI 96750

Phone

(808) 747-4239

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Katie Vitousek, DPT

Title

Owner/Physical Therapist

Phone

(808) 747-4239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1245718311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2328",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6264 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-747-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "VITOUSEK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-747-4239",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "3114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santad - Sira, M.D.
• Ashley Elisabeth Soares, RN
• Pamela A. Soteros
• Sound Physicians of Hawaii Inc
• St. Francis Medical Center - Kona Dialysis
• State of Hawaii Department of Health
• State of Hawaii Department of Health (West Hawaii Community Mental Health Center- Kona)
• Derrick M. Sugi
• Sukchai Satta MD, Inc.
• Mary P Sullivan, PSYD

• Physical Therapy Clinic/Center in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.