Active NPI
Five Star Rehabilitation and Wellness Services, LLC.
- Physical Therapy Clinic/Center
- Lexington, KY
National Provider Identifier
1689135758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
- Doing business as
- Ageility Physical Therapy Solutions at Lexington Country Place
- Practice address
- 700 Mason Headley Rd
Lexington, KY 40504-2326 - Phone
- (859) 259-3486
- NPI assigned
- Mar 29, 2019
- Organization subpart
- Yes
- Parent organization
- FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey C. Leer
- Title
- President & Chief Executive Officer
- Phone
- (617) 786-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
700 Mason Headley Rd
Lexington, KY 40504-2326
Mailing address
255 Washington St Ste 230
Newton, MA 02458-1644
Phone (617) 796-8350
Other names 1
- Ageility Physical Therapy Solutions at Lexington Country Place
National Provider Directory
National Provider Directory- Part of
- Five Star Rehab
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666224000000",
"number": "1689135758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 WASHINGTON ST STE 230",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581644",
"telephone_number": "617-796-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MASON HEADLEY RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042326",
"telephone_number": "859-259-3486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
"enumeration_date": "2019-03-29",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A",
"authorized_official_last_name": "LEER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "617-786-8387"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ageility Physical Therapy Solutions at Lexington Country Place",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ageility Physical Therapy Solutions at Lexington Country Place",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.