NPIMap

Allstar Therapies Inc

Organization Active NPI Rehabilitation Clinic/Center · Jeannette, PA

NPI 1861602252 · NPPES record last updated Sep 20, 2023

Key facts

NPI
1861602252
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
License
SL001867L (PA)
Legal business name
ALLSTAR THERAPIES INC
Practice address
2020 Ader Rd
Jeannette, PA 15644-4500
Phone
(724) 327-3557
NPI assigned
May 23, 2007
Organization subpart
No

Authorized official

Name
Mr. Daniel P. Wukich
Title
Director
Phone
(724) 327-3557

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA, OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150305001770 PA Part B Supplier - Clinic/Group Practice 5294998035 Receives reassigned benefits from 13 practitioners
Practice locations: Jeannette, PA
O20180320000550 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294998035 Receives reassigned benefits from 4 practitioners
Practice locations: Blue Ash, OH

National Provider Directory

Locations

712 Lyndon Ln
Louisville, KY 40222
Phone (502) 708-1330

1941 Bishop Ln
Ste 100
Louisville, KY 40218
Phone (502) 618-5950

10979 Reed Hartman Hwy
Ste 135B
Blue Ash, OH 45242
Phone (724) 327-3553

10979 Reed Hartman Hwy
Ste 139B
Blue Ash, OH 45242
Phone (724) 327-3553

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X SL001867L PA Yes

Addresses

Primary practice location

2020 Ader Rd
Jeannette, PA 15644-4500

Mailing address

2030 Ader Rd
Jeannette, PA 15644-4500
Phone (724) 327-3557

Other practice location 1

10979 Reed Hartman Hwy Ste 135B
Blue Ash, OH 45242-2857
Phone (724) 327-3553

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2023.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1861602252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 ADER RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444500",
            "telephone_number": "724-327-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ADER RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444500",
            "telephone_number": "724-327-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10979 Reed Hartman Hwy Ste 135B",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452422857",
            "country_code": "US",
            "telephone_number": "724-327-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLSTAR THERAPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "WUKICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-327-3557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "SL001867L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

All providers in Jeannette, PA · Rehabilitation Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.