NPIMap

Organization Active NPI

Sports Therapy and Advanced Rehabilitation, Inc.

Doing business as STAR Physical Therapy

  • Physical Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1265441075
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
651590000 Issued in TX
Legal business name
SPORTS THERAPY AND ADVANCED REHABILITATION, INC.
Doing business as
STAR Physical Therapy
Practice address
7401 W Highway 71 Ste 130
Austin, TX 78735-8260
Phone
(512) 288-2700
Fax
(512) 288-2711
NPI assigned
Aug 8, 2006
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Milissa R Berry
Title
Office Manager
Phone
(512) 288-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 651590000 TX Primary

Addresses

Primary practice location

7401 W Highway 71 Ste 130
Austin, TX 78735-8260

Mailing address

7401 W Highway 71 Ste 130
Austin, TX 78735-8260
Phone (512) 288-2700

Other identifiers 1

IdentifierTypeStateIssuer
0059JOtherTXBCBS ID

Other names 1

  • STAR Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050129000120 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284684093 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

11101 Burnet Rd
Ste A170
Austin, TX 78758
Phone (512) 835-5000

7401 W Highway 71
Ste 130
Austin, TX 78735
Phone (512) 203-9084

7401 W Highway 71
Ste B130
Austin, TX 78735

Practitioners & affiliated clinicians

Practitioners 12

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1265441075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 W HIGHWAY 71 STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358260",
            "telephone_number": "512-288-2700",
            "fax_number": "512-288-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W HIGHWAY 71 STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358260",
            "telephone_number": "512-288-2700",
            "fax_number": "512-288-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS THERAPY AND ADVANCED REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MILISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-288-2700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "651590000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "0059J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.