NPIMap

Organization Active NPI

Star Physical Therapy LLC

Doing business as STAR Physical Therapy

  • Physical Therapy Clinic/Center
  • Sylacauga, AL
National Provider Identifier
1558624825
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTH5126 Issued in AL
Legal business name
STAR PHYSICAL THERAPY LLC
Doing business as
STAR Physical Therapy
Practice address
1035 W Fort Williams St
Sylacauga, AL 35150-2301
Phone
(256) 404-1931
NPI assigned
Jun 20, 2012
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Todd Malone, PTNPI 1851654222
Title
Director
Phone
(256) 404-1931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTH5126 AL Primary

Addresses

Primary practice location

1035 W Fort Williams St
Sylacauga, AL 35150-2301

Mailing address

1035 W Fort Williams St
Sylacauga, AL 35150-2301
Phone (256) 404-1931

Other names 1

  • STAR Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000214 AL Part B Supplier - Clinic/Group Practice 1951557321 Receives reassigned benefits from 3 practitioners
Practice locations: Sylacauga, AL

National Provider Directory

National Provider Directory

Locations

1035 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 249-4701

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1558624825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502301",
            "telephone_number": "256-404-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502301",
            "telephone_number": "256-404-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-404-1931",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH5126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.