Star Nickel Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STAR NICKEL CORP

Practice address

1314 Osnats PT
San Antonio, TX 78258-6931

Phone

(323) 394-2325

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Vincent Paul San Luis Omictin, PT, MA, CCC-SLPNPI 1043603814

Title

Director

Phone

(323) 394-2325

Specialties & licenses 2

Addresses

Tax ID family

Star Nickel Corp2 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 Nickel Corp

  • Physical Therapist
  • San Antonio, TX
  • NPI 1619816006
  NPD tax ID

Practitioners 1

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

• Vincent Paul San Luis Omictin

  • Physical Therapist
  • San Antonio, TX
  • NPI 1043603814
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718496000000",
    "number": "1275376816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 OSNATS PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 OSNATS PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586931",
            "telephone_number": "323-394-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR NICKEL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "OMICTIN",
        "authorized_official_first_name": "VINCENT PAUL",
        "authorized_official_middle_name": "SAN LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-394-2325",
        "authorized_official_credential": "PT, MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.