SCPT Star Care Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SCPT STAR CARE PHYSICAL THERAPY, INC.

Practice address

620 N Grant Ave Ste 100
Odessa, TX 79761-4541

Phone

(432) 580-7707

Fax

(432) 580-7937

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Ravi Shakamuri, M.S.

Title

Administrator

Phone

(432) 580-7707

Specialties & licenses 1

Addresses

Other names 1

• Star Care Physical Therapy Doing business as

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750503447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N GRANT AVE STE 100",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614541",
            "telephone_number": "432-580-7707",
            "fax_number": "432-580-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N GRANT AVE STE 100",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614541",
            "telephone_number": "432-580-7707",
            "fax_number": "432-580-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPT STAR CARE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAKAMURI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-580-7707",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Care Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Sanford MD PA
• Tona Scott, PA
• Scotty Ortega MD LLP
• Scotty Ortega PA
• Scotty R Ortega MD
• Anna Marie Scroggins, L.C.D.C.
• Nelda Kay Scroggins
• Cara Sczepanski
• Sears Permian Retirement Corporation
• Seebach Inc.

• Physical Therapy Clinic/Center in Odessa, TX
• Providers in Odessa, 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 Aug 22, 2020; 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.