Five Star Rehabilitation and Wellness Services, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.

Doing business as

Ageility Physical Therapy Solutions at Belmont

Practice address

1710 Magnolia Boulevard
Nashville, TN 37212-3764

Phone

(615) 383-2557

Fax

(615) 292-2061

NPI assigned

Mar 23, 2011

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.As reported in NPPES

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

Authorized official

Name

Jeffrey C Leer

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Ageility Physical Therapy Solutions at Belmont Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407155997. Details of each certification follow.

• CCN 446708 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 446708

Legal name

AGEILITY PHYSICAL THERAPY SOLUTIONS AT BELMONT

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Mar 21, 2013

Last certification

Mar 21, 2013

Ownership / control type

Proprietary

Facility address

1710 Magnolia Blvd
Nashville, TN 37212

Part of

Five Star Rehabilitation and Wellness Services LLC

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1407155997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 230",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581644",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MAGNOLIA BOULEVARD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123764",
            "telephone_number": "615-383-2557",
            "fax_number": "615-292-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
        "enumeration_date": "2011-03-23",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LEER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageility Physical Therapy Solutions at Belmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Brint Fitzpatrick II, LPC-MHSP
• Aaron Fitzsimmons, CP, OT
• Jennifer Marie Fitzsimmons, ACNP-BC
• Tina Fitzsimmons, OT
• Lyndee Fitzsimonds, RBT
• English Flack, MD
• Kim Flack, M.S., R.D., L.D.N.
• Jennifer Elaine Flagg, NP-C
• Suzan Flagg, OT
• Alexis Flaherty, RN

• Physical Therapy Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.