NPIMap

Organization Active NPI

Star Therapy Inc.

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1972809564
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAR THERAPY INC.
Practice address
938 W North Ave
Baltimore, MD 21217-3940
Phone
(410) 669-8300
Fax
(410) 669-0764
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Mr. Timur Yusufov
Title
Owner
Phone
(410) 669-0763

Specialties & licenses 1

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

Addresses

Primary practice location

938 W North Ave
Baltimore, MD 21217-3940

Mailing address

938 W North Ave
Baltimore, MD 21217-3940
Phone (410) 669-8300

National Provider Directory

National Provider Directory

Locations

938 W North Ave
Baltimore, MD 21217
Phone (410) 669-8300

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": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1972809564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173940",
            "telephone_number": "410-669-8300",
            "fax_number": "410-669-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173940",
            "telephone_number": "410-669-8300",
            "fax_number": "410-669-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "YUSUFOV",
        "authorized_official_first_name": "TIMUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-669-0763",
        "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": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.