Organization Active NPI

Star Mobility Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Katy, TX
National Provider Identifier
1568023521
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STAR MOBILITY PROSTHETICS LLC
Practice address
27027 Westheimer Pkwy Ste 1500
Katy, TX 77494-5500
Phone
(832) 913-8261
Fax
(832) 913-8267
NPI assigned
Jun 21, 2019
Last updated
Jun 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Mr. Jesse Benitez Jr.
Title
Owner
Phone
(210) 852-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

27027 Westheimer Pkwy Ste 1500
Katy, TX 77494-5500

Mailing address

9471 Celine Dr
San Antonio, TX 78250-5080
Phone (210) 852-1664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190722000342 TX DME Supplier - Prosthetic Personnel 1557697133 Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Star Mobility Prosthetcis LLC27027 Westheimer Pkwy, Katy, TX 77494-5500(832) 913-8261 Limb Prostheses Does not accept assignmentParticipating since Jul 22, 2019

National Provider Directory

National Provider Directory
Tax ID family
Star Mobility Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1568023521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 CELINE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505080",
            "telephone_number": "210-852-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27027 WESTHEIMER PKWY STE 1500",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945500",
            "telephone_number": "832-913-8261",
            "fax_number": "832-913-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MOBILITY PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-852-1664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.