5 Star Therapy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

5 STAR THERAPY LLC

Practice address

5702 McPherson Rd Ste 15
Laredo, TX 78041-6884

Phone

(956) 725-4555

Fax

(956) 725-3555

NPI assigned

Nov 9, 2020

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Wong

Title

Owner

Phone

(956) 725-4555

Specialties & licenses 1

Addresses

Other identifiers 1

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 1467054148. Details of each certification follow.

• CCN 676697 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676697

Legal name

5 STAR THERAPY LLC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Nov 30, 2012

Last certification

Mar 10, 2025

Ownership / control type

Proprietary

Facility address

5702 McPherson Rd Ste 15
Laredo, TX 78041

Locations

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1467054148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 MCPHERSON RD STE 15",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416884",
            "telephone_number": "956-725-4555",
            "fax_number": "956-725-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 MCPHERSON RD STE 15",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416884",
            "telephone_number": "956-725-4555",
            "fax_number": "956-725-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-725-4555"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419363301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1St Choice Therapy PC
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• 956 Dental
• 9944 Investments LLC (Border DME)
• A and E Professionalservices

• Rehabilitation Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.