Organization Active NPI

Home Star Physical Therapy Inc.

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1962684746
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17911 Issued in CA
Legal business name
HOME STAR PHYSICAL THERAPY INC.
Practice address
39 Calle Loyola
San Clemente, CA 92673-7018
Phone
(949) 280-4783
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mr. Jon Paul Marchese, P.T.
Title
Officer
Phone
(949) 280-4783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT17911 CA Primary

Addresses

Primary practice location

39 Calle Loyola
San Clemente, CA 92673-7018

Mailing address

39 Calle Loyola
San Clemente, CA 92673-7018
Phone (949) 280-4783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1962684746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CALLE LOYOLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737018",
            "telephone_number": "949-280-4783",
            "fax_number": "949-429-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE LOYOLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737018",
            "telephone_number": "949-280-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME STAR PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "949-280-4783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.