Five Star Rehabilitation and Wellness Services, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.

Doing business as

Ageility Physical Therapy Solutions at Dayton Place

Practice address

1950 S Dayton St
Aurora, CO 80247-3452

Phone

(617) 796-8387

NPI assigned

Oct 26, 2018

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.As reported in NPPES

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

Authorized official

Name

Jeffrey C Leer

Title

Presdient & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Ageility Physical Therapy Solutions at Dayton Place Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699242735. Details of each certification follow.

• CCN 066659 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 066659

Legal name

AGEILITY PHYSICAL THERAPY SOLUTIONS AT DAYTON PLAC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 12, 2019

Last certification

Jun 12, 2019

Ownership / control type

Proprietary

Facility address

1950 S Dayton St
Aurora, CO 80247

Part of

Five Star Rehabilitation and Wellness Services LLC

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1699242735",
    "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": "617-796-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S DAYTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802473452",
            "telephone_number": "617-796-8387"
        }
    ],
    "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": "2018-10-26",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "LEER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESDIENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "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 Dayton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Mattick Fitzler, M.D.
• Gregory Fitzpatrick
• James Fitzpatrick, MD
• Margaret Ann Fitzpatrick, M.D.
• Five Bees in a Bucket LLC
• Rachel Marie Fix, MSW
• Samantha Fix, CRNA
• Christina K Fixari, LCSW
• Danielle Fixen, PHARMD
• FL Health Services, Inc

• Physical Therapy Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.