NPIMap

Organization Active NPI

Star Physical Therapy LP

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1396704094
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAR PHYSICAL THERAPY LP
Practice address
5505 Edmondson Pike
Suite 103
Nashville, TN 37211-5872
Phone
(615) 831-1710
Fax
(615) 831-1968
NPI assigned
Mar 21, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Hal Henninger, PT
Title
Partner
Phone
(866) 800-9147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

5505 Edmondson Pike
Suite 103
Nashville, TN 37211-5872

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (866) 800-9147

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20020821000006 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5496662421
O20131001000367 TN Part B Supplier - Clinic/Group Practice 5496662421 Receives reassigned benefits from 39 practitioners
Practice locations: Alamo, TN; Murfreesboro, TN; Nashville, TN
O20161114001343 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5496662421 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawrenceburg, TN; Waverly, TN; Union City, TN; Selmer, TN; Ripley, TN; Lexington, TN; Henderson, TN; Dyersburg, TN…

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1655 Highway 51 S
Ste J
Covington, TN 38019
Phone (901) 313-6600

640 US Highway 51 Byp E
Ste A
Dyersburg, TN 38024
Phone (731) 285-5552

417 Gordonsville Hwy
Ste 100
Gordonsville, TN 38563
Phone (615) 683-4195

6650 Eastgate Blvd
Ste 105
Lebanon, TN 37090
Phone (731) 285-5552

375 Kelsey Ln
Ste 2
Lenoir City, TN 37772
Phone (865) 271-1860

3658 Bell Rd
Nashville, TN 37214
Phone (615) 230-9626

5505 Edmonson Pike
Ste 103
Nashville, TN 37211
Phone (615) 831-1710

500 Hadley Village Blvd
Ste 500
Old Hickory, TN 37138
Phone (615) 475-8500

934 S Broadway St
Ste 4
Portland, TN 37148
Phone (615) 323-7575

105 Northside Park Dr
Shelbyville, TN 37160
Phone (931) 735-6451

4886 Port Royal Rd
Ste 180
Spring Hill, TN 37174
Phone (931) 499-7350

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1396704094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "866-800-9147",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EDMONDSON PIKE",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115872",
            "telephone_number": "615-831-1710",
            "fax_number": "615-831-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "HENNINGER",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "866-800-9147",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.