Little Star Rehab

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

LITTLE STAR REHAB

Doing business as

Little Stars Rehab

Practice address

4525 Altamesa Blvd
Fort Worth, TX 76133

Phone

(817) 822-9195

NPI assigned

May 7, 2012

Last updated

Nov 19, 2012By 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

Mrs. Angela WatsonNPI 1508110305

Title

Owner

Phone

(817) 822-9195

Specialties & licenses 2

Addresses

Other names 1

• Little Stars Rehab Doing business as

Practitioners 1

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.

• Angela Watson

  • Phlebotomy Technician
  • Fort Worth, TX
  • NPI 1508110305

  Rehabilitation

  NPD (past) Authorized official

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1477812857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 ALTAMESA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "817-822-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 ALTAMESA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "817-822-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE STAR REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-822-9195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Stars Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Scott Littenberg
• Little Boots Pediatric Dentistry
• Little Champs ABA TX LLC
• Little Dandelion Speech and Feeding Therapy
• Little Red Wagon Pediatric Therapy, LLC
• Little Voices Speech and Language Therapy
• Joyce Ann Little, RN
• Kimberly Kay Little, OTR
• Linda Little, L.M.T.
• Marlee Little

• Rehabilitation Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 19, 2012; 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.