NPIMap

Organization Active NPI

Star Physical Therapy

  • Specialist
  • Mount Laurel, NJ
National Provider Identifier
1598079691
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA01360800 Issued in NJ
Legal business name
STAR PHYSICAL THERAPY
Practice address
127 Ark Rd
Suite 23
Mount Laurel, NJ 08054-6302
Phone
(856) 608-7733
Fax
(856) 608-7750
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Tom Depaulis, MSPT
Title
Owner
Phone
(856) 608-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40QA01360800 NJ Primary

Addresses

Primary practice location

127 Ark Rd
Suite 23
Mount Laurel, NJ 08054-6302

Mailing address

127 Ark Rd
Suite 23
Mount Laurel, NJ 08054-6302
Phone (856) 608-7733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1598079691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ARK RD",
            "address_2": "SUITE 23",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546302",
            "telephone_number": "856-608-7733",
            "fax_number": "856-608-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ARK RD",
            "address_2": "SUITE 23",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546302",
            "telephone_number": "856-608-7733",
            "fax_number": "856-608-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "DEPAULIS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-608-7733",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01360800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.