Paul Hunter Stark, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26714 Issued in FL

Practice address

375 N 9TH Ave Ste B
Pensacola, FL 32502-4905

Phone

(850) 912-9203

NPI assigned

Sep 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stark Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1891319927
  NPD Authorized official
• Mississippi Sports Medicine & Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1568415560
  NPD (past)
• Montage Surgical Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Monterey, CA
  • NPI 1629864236
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790876449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E CERVANTES ST STE B216",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013286",
            "telephone_number": "850-912-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N 9TH AVE STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024905",
            "telephone_number": "850-912-9203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Upper Ragsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405730",
            "country_code": "US",
            "telephone_number": "831-648-7200",
            "fax_number": "831-648-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "PAUL",
        "middle_name": "HUNTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293314",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P0036427",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013483",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charmian M. Stanford, R.N.
• Sabrina Stanley
• Stephanie Bell Stanton, PHARMD
• Star Sports Medicine PA
• Stark Performance Physical Therapy
• T Gail Stark, DPM
• Monique E Starke, PT, DPT
• Sonya L Starnes
• William Joseph Starsiak Jr., DDS
• Starvision Optometry PLLC

• Physical Therapist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapist in Florida

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

Verify at the official NPI Registry.