NPIMap

Organization Active NPI

Stark Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Pensacola, FL
National Provider Identifier
1891319927
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STARK PERFORMANCE PHYSICAL THERAPY
Practice address
375 N 9TH Ave Ste B
Pensacola, FL 32502-4905
Phone
(601) 540-1086
NPI assigned
Jun 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Paul Hunter Stark, PTNPI 1790876449
Title
Owner / Physical Therapist
Phone
(601) 540-1086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

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

Mailing address

707 E Cervantes Street, Suite B #216
Pensacola, FL 32501
Phone (601) 540-1086

National Provider Directory

National Provider Directory

Locations

375 N 9th Ave
Ste B
Pensacola, FL 32502
Phone (601) 540-1086

707 E Cervantes St
Ste B
Pensacola, FL 32501

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1891319927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E CERVANTES STREET, SUITE B #216",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "601-540-1086"
        },
        {
            "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": "601-540-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-540-1086",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.