Star Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

94033513 Issued in LA

Legal business name

STAR PHYSICAL THERAPY

Practice address

340 Falconer Dr
Covington, LA 70433

Phone

(985) 893-2845

Fax

(985) 893-2654

NPI assigned

Mar 26, 2007

Last updated

Jun 21, 2018By 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. Matt Slimming, PT, C.S.C.S.

Title

Owner

Phone

(985) 893-2845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Star Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Star Physical Therapy, Inc

  • Specialist
  • Covington, LA
  • NPI 1720034770
  NPD tax ID

Locations

Practitioners 30

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.

• Lauren Amiss, DPT

  • Physical Therapist
  • Covington, LA
  • NPI 1376436162
  Medicare reassignment Care Compare group NPD
• Rachel Dupont Jacobs, PT

  • Physical Therapist
  • Madisonville, LA
  • NPI 1346673589
  Medicare reassignment Care Compare group NPD
• Ryan Scott Neill, PT

  • Physical Therapist
  • Covington, LA
  • NPI 1245906676
  Medicare reassignment Care Compare group NPD
• Jacob Randall Pierce, DPT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1942878616
  Medicare reassignment Care Compare group NPD
• Matthew Edward Slimming, P.T.

  • Physical Therapist
  • Covington, LA
  • NPI 1578518064
  Medicare reassignment Care Compare group NPD
• Jerome Paul Wollfarth, P.T.

  • Specialist
  • Covington, LA
  • NPI 1558432583

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kyle Babin, DPT

  • Physical Therapist
  • Broussard, LA
  • NPI 1891127114
  Medicare reassignment NPD
• Ravi J. Bates, P. TI.

  • Physical Therapist
  • New Orleans, LA
  • NPI 1235228958
  Medicare reassignment NPD
• Katherine Bickham, DPT

  • Physical Therapist
  • Mandeville, LA
  • NPI 1871241133
  Medicare reassignment NPD
• Virginia Lynn Callais, PT

  • Physical Therapist
  • Covington, LA
  • NPI 1093974453
  Medicare reassignment NPD
• Sonia M Correa Rivera, MSPT

  • Physical Therapist
  • Mandeville, LA
  • NPI 1558581850
  Medicare reassignment NPD
• Kate Helena Grigg, PT, DPT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1609208628
  Medicare reassignment NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1679691240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-2845",
            "fax_number": "985-893-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-2845",
            "fax_number": "985-893-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SLIMMING",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-893-2845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, C.S.C.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "94033513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Paul Stafford, PT, DPT
• Paul F Stahls III, MD
• Dale Ellen Standifer, LCSW
• Stacey Penick Standridge, NP
• Charles Zachary Staples, D.D.S.
• Star Physical Therapy Noe
• Star Physical Therapy, Inc
• Ulrich A Starke, M.D.
• Robert R. Starnes, D.D.S.
• Start Corporation (Start Pharmacy Covington)

• Physical Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.