Star Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STAR PHYSICAL THERAPY

Practice address

1779 Woodside Rd Ste 102
Redwood City, CA 94061-3461

Phone

(650) 780-9700

Fax

(650) 780-0225

NPI assigned

Nov 1, 2006

Last updated

Mar 17, 2025By 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

Jason Powell, PT DPTNPI 1144601113

Title

Owner

Phone

(650) 780-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 28

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.

• Jason Powell, DPT

  • Physical Therapist
  • Redwood City, CA
  • NPI 1144601113
  Medicare reassignment Care Compare group Authorized official
• Charleson Prince Godio Agustin, DPT, CMT, CSCS

  • Physical Therapist
  • Westminster, CA
  • NPI 1447999388
  Medicare reassignment Care Compare group NPD
• Robert Chu, D.P.T.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Mateo, CA
  • NPI 1285401505
  Medicare reassignment Care Compare group NPD
• Sydney Joann Miller, PT DPT

  • Physical Therapist
  • Monterey, CA
  • NPI 1932719119
  Medicare reassignment Care Compare group NPD
• Olayinka Sholola

  • Physical Therapist
  • Redwood City, CA
  • NPI 1780548362

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kristin Mika Vavaroutsos

  • Physical Therapist
  • Redwood City, CA
  • NPI 1730064395
  Medicare reassignment Care Compare group NPD
• Victor Yeung, PT DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1689273617

  CA

  Medicare reassignment Care Compare group NPD
• Remy W Arnold, DPT

  • Physical Therapist
  • Redwood City, CA
  • NPI 1710596184
  Medicare reassignment NPD
• Stephanie Hetto, PT, DPT

  • Physical Therapist
  • Temecula, CA
  • NPI 1386366797
  Medicare reassignment NPD
• Matthew Jew, DPT

  • Physical Therapist
  • Redwood City, CA
  • NPI 1780312413
  Medicare reassignment NPD
• Amoljeet K Kaushal, DPT

  • Physical Therapist
  • Redwood City, CA
  • NPI 1447090246
  Medicare reassignment NPD
• Shannon M. McGann, PT

  • Physical Therapist
  • Redwood City, CA
  • NPI 1255672762
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1730267204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 WOODSIDE RD",
            "address_2": "SUITE #102",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613461",
            "telephone_number": "650-780-9700",
            "fax_number": "650-780-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 WOODSIDE RD STE 102",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613461",
            "telephone_number": "650-780-9700",
            "fax_number": "650-780-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-780-9700",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Stalley Boyle, L.E.
• Stanford University Medical Center
• Ross Martin Stangeland, D.D.S.
• Michelle Thanh Stanton White, LMFT
• Anna Marjorie Stanton, POD, PCD, CLE
• Stars, Inc. (Acacia Mental Health Rehabilitation Center)
• Ashley Gabriella Steadham
• Janet Ruth Steele, LMFT
• Kathleen Anne Steele, LCSW
• Jerome Stefanko, MD

• Physical Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.