Star Physical Therapy of Santa Maria, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STAR PHYSICAL THERAPY OF SANTA MARIA, INC.

Practice address

2342 Professional Pkwy
110
Santa Maria, CA 93455-1630

Phone

(805) 614-0400

Fax

(805) 614-0500

NPI assigned

Sep 10, 2007

Last updated

Nov 1, 2011By 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

Mr. Patrick David Wayland, M.P.T.NPI 1588682132

Title

Director

Phone

(951) 966-6555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Patrick David Wayland, RPT

  • Physical Therapist
  • Santa Maria, CA
  • NPI 1588682132
  Medicare reassignment Care Compare group NPD Authorized official
• Paul Lyle Manosar, PT

  • Physical Therapist
  • Pismo Beach, CA
  • NPI 1538592167
  Medicare reassignment Care Compare group
• Sean Kevin Callahan, R.P.T.

  • Orthopedic Physical Therapist
  • Covina, CA
  • NPI 1639191901
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1578758827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 VIA VERDE",
            "address_2": "134",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734401",
            "telephone_number": "626-974-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "110",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-614-0400",
            "fax_number": "805-614-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY OF SANTA MARIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "WAYLAND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-966-6555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ50346Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Squires
• Robin A Squires
• Stacy Poole, DMD, Inc.
• Chante Stallworth
• Beatrice Grace Stanley
• Justin Terell Starling, PA-S
• Peter Anthony Statti, MD
• Ian Stauber
• Thomas Steffora, L.M.F.T.
• Peggy A Stepanian, M.S. CWCII

• Physical Therapy Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.