Active NPI
Home Star Physical Therapy Inc.
- Physical Therapist
- San Clemente, CA
National Provider Identifier
1962684746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17911
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.