Texas-Star Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TEXAS-STAR PHYSICAL THERAPY LLC

Doing business as

Texas Star Medical Rehab

Practice address

10103 Fondren Rd Ste 150a
Houston, TX 77096-4556

Phone

(281) 660-8661

Fax

(281) 407-4516

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Stella Enelichi, DPTNPI 1821322967

Title

Administrator

Phone

(832) 545-4039

Specialties & licenses 2

Addresses

Other names 1

• Texas Star Medical 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.

• Stella Chinye Enelichi, 1189230, LPT

  • Physical Therapist
  • Houston, TX
  • NPI 1821322967
  NPD Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1629654702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710977",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772710977",
            "telephone_number": "281-660-8661",
            "fax_number": "281-407-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 150A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964556",
            "telephone_number": "281-660-8661",
            "fax_number": "281-407-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS-STAR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "ENELICHI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-545-4039",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Star Medical Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.