NPIMap

Organization Active NPI

Star Inc

  • Physical Therapist
  • Marion Heights, PA
National Provider Identifier
1659489672
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAR INC
Practice address
600 Park Ave
Marion Heights, PA 17832
Phone
(570) 373-3300
Fax
(570) 373-3363
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Lori T Swaldi, DPTNPI 1962510941
Title
President
Phone
(570) 373-3300

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

600 Park Ave
Marion Heights, PA 17832

Mailing address

600 Park Ave
PO Box 427
Marion Heights, PA 17832
Phone (570) 373-3300

Other identifiers 3

IdentifierTypeStateIssuer
ST1470367OtherPWBLUE SHIELD
1012553010001MedicaidPA
50014441OtherPABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000880 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507754728 Receives reassigned benefits from 2 practitioners
Practice locations: Marion Heights, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1659489672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "address_2": "PO BOX 427",
            "city": "MARION HEIGHTS",
            "state": "PA",
            "postal_code": "17832",
            "telephone_number": "570-373-3300",
            "fax_number": "570-373-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "city": "MARION HEIGHTS",
            "state": "PA",
            "postal_code": "17832",
            "telephone_number": "570-373-3300",
            "fax_number": "570-373-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "SWALDI",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-373-3300",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST1470367",
            "state": "PW"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012553010001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50014441",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.