S.T.a.R. Therapy Clinic, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

S.T.A.R. THERAPY CLINIC, INC

Practice address

6121 N Thesta St
Suite 115
Fresno, CA 93710-8603

Phone

(559) 449-9394

Fax

(559) 449-8287

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lee Allen Brownell

Title

Owner/RPT

Phone

(559) 449-9394

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Theresa Ann Stofan, P.T.

  • Physical Therapist
  • Fresno, CA
  • NPI 1063423945
  NPD (past)
• Dean Teitelbaum, PT, DPT

  • Physical Therapist
  • Simsbury, CT
  • NPI 1619179488
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1972514867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 N. FIRST ST. #118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-449-9394",
            "fax_number": "559-449-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "SUITE 115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-449-9394",
            "fax_number": "559-449-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.A.R. THERAPY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "BROWNELL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/RPT",
        "authorized_official_telephone_number": "559-449-9394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Mavi,D.D.S., Incorporated (Ashlan Dental Center)
• S N Express LLC
• S Primewave Corporation
• S Vision Group Inc
• S. J. Garza, D.D.S. Inc.
• Saad Hijazi, MD, Inc.
• Akram Abdo Mohamed Saad, DMD
• Ali Saadi, M.D.
• Saadia a Rana, DDS, Inc. a Professional Corporation
• Kaylee Saar, SLP

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.