All Star Therapy

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000128 Issued in CT

Legal business name

ALL STAR THERAPY

Practice address

21 Waterville Rd
Avon, CT 06001-2097

Phone

(860) 677-2934

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Magdalen Daniel, PTA

Title

Physical Therapy Assistant

Phone

(860) 677-2934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1982980546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012097",
            "telephone_number": "860-677-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012097",
            "telephone_number": "860-677-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "MAGDALEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "860-677-2934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "000128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdelmonim Affany, MD
• Mohammed T. Ahsan, PA-C
• Mallory Elizabeth Akin, APRN
• Susan Elizabeth Alexe
• Alexis Cascone Nutrition LLC
• Alledran Med LLC
• Emily H Allen, LCSW
• Staci Robinson Allen, DDS
• Alliance Treatment Center
• Alliance Treatment Center

• Skilled Nursing Facility in Avon, CT
• Providers in Avon, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.