NPIMap

Organization Active NPI

Five Star Rehabilitation and Wellness Services LLC

Doing business as Ageility Physical Therapy Solutions at Horizon Club

  • Physical Therapy Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1427467299
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
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 Horizon Club
Practice address
1208 S Military TRL
Five Star Rehabilitation and Wellness Services
Deerfield Beach, FL 33442-8709
Phone
(954) 481-2304
Fax
(954) 570-8720
NPI assigned
Aug 6, 2014
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FIVE STAR REHABILITATION AND WELLNESS SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

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

Addresses

Primary practice location

1208 S Military TRL
Five Star Rehabilitation and Wellness Services
Deerfield Beach, FL 33442-8709

Mailing address

255 Washington St Ste 230
Newton, MA 02458-1644
Phone (617) 796-8387

Other names 1

  • Ageility Physical Therapy Solutions at Horizon Club Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213002716 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0143323535 Practice locations: Deerfield Beach, FL; West Palm Beach, FL; Tamarac, FL; Port St. Lucie, FL; Pompano Beach, FL; Plantation, FL; Hollywood, FL; Coral Springs, FL…

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Part of
Five Star Rehabilitation and Wellness Services LLC

Locations

1208 S Military Trl
#Five
Deerfield Beach, FL 33442
Phone (954) 481-2304

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1427467299",
    "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": "617-796-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S MILITARY TRL",
            "address_2": "FIVE STAR REHABILITATION AND WELLNESS SERVICES",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428709",
            "telephone_number": "954-481-2304",
            "fax_number": "954-570-8720"
        }
    ],
    "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": "2014-08-06",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageility Physical Therapy Solutions at Horizon Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.