Star Medical Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STAR MEDICAL CENTER, LLC

Practice address

4090 Mapleshade LN Ste 100
Plano, TX 75093-0025

Phone

(469) 649-7004

NPI assigned

Sep 29, 2022

Organization subpart

Yes

Parent organization

STAR MEDICAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Jordan Fowler

Title

President & Ceo

Phone

(817) 421-1066

Specialties & licenses 1

Addresses

Other names 1

• P5 Performance Plano PT Doing business as

Tax ID family

Star Medical Center LLC2 organizations share this tax ID, including this one

Part of

Star Medical Center LLC

Other organizations with this tax ID 1

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

• Star Medical Center, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1184057309
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Star Medical Center, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1184057309
  NPPES parent name

Practitioners 6

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

• Puneet Arora, D.C

  • Chiropractor
  • McKinney, TX
  • NPI 1962621060
  NPD (past)
• Amanda Sue Kuehl, PT, DPT

  • Orthopedic Physical Therapist
  • Frisco, TX
  • NPI 1457764011
  NPD (past)
• Hope McAfee, PT

  • Physical Therapist
  • Plano, TX
  • NPI 1255942603
  NPD (past)
• Diana Pham, DPT

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
  • NPI 1407405228
  NPD (past)
• Vudhi V Slabisak, MD

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1639109358
  NPD (past)
• Tyler Stewart

  • Orthopedic Physical Therapist
  • Frisco, TX
  • NPI 1659994887
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1669196960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MAPLESHADE LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "469-649-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Preston Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242616",
            "country_code": "US",
            "telephone_number": "972-781-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Adriatic Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750721209",
            "country_code": "US",
            "telephone_number": "972-369-1471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Legacy Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750346748",
            "country_code": "US",
            "telephone_number": "214-618-7746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13108 Dallas Pkwy Ste 410",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334246",
            "country_code": "US",
            "telephone_number": "469-423-9514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 S Watters Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750135008",
            "country_code": "US",
            "telephone_number": "469-414-0659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8861 Coleman Blvd",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343209",
            "country_code": "US",
            "telephone_number": "214-618-4675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR MEDICAL CENTER, LLC",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "817-421-1066"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P5 Performance Plano PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Troy Stansberry, D.D.S.
• Bill Alan Stanton, M.D.
• Star Anesthesia Associates PLLC
• Star Care Solutions LLC
• Star Medical Center, LLC
• Rosalie Starkweather
• Tamara Starling
• Starmd
• Starwood Audiology and Hearing AIDS
• Dennis Michael Statz, D.D.S.

• Physical Therapy Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.