NPIMap

Organization Active NPI

Star Rehab Therapy LLC

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1972564110
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAR REHAB THERAPY LLC
Practice address
4109 N Elizabeth St
Pueblo, CO 81008-2009
Phone
(719) 561-5377
Fax
(719) 561-5378
NPI assigned
Mar 29, 2006
Organization subpart
Yes
Parent organization
STAR PHYSICIANS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Lynda Mariko Tsuha
Title
Chief Operating Officer
Phone
(719) 561-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4109 N Elizabeth St
Pueblo, CO 81008-2009

Mailing address

PO Box 8867
Pueblo, CO 81008-8867
Phone (719) 561-5377

Other identifiers 1

IdentifierTypeStateIssuer
65971850MedicaidCO

National Provider Directory

National Provider Directory
Part of
Star Rehab Physicians LLC

Practitioners & affiliated clinicians

Practitioners 8

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1972564110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8867",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810088867",
            "telephone_number": "719-561-5377",
            "fax_number": "719-561-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 N ELIZABETH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082009",
            "telephone_number": "719-561-5377",
            "fax_number": "719-561-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR REHAB THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR PHYSICIANS  LLC",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "TSUHA",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "MARIKO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "719-561-5377"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65971850",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

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