LITTLE STAR REHAB


Address: 4525 Altamesa Blvd, Fort Worth, TX 76133
Phone: 8178229195

LITTLE STAR REHAB (NPI# 1477812857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477812857
Entity Type Organization
Organization Name LITTLE STAR REHAB
Other Organization Name LITTLE STARS REHAB
Practice Address 4525 Altamesa Blvd
Fort Worth
TX 76133
Practice Telephone 8178229195
Mailing Telephone 8178229195
Enumeration Date 2012-05-07
Last Update Date 2012-11-19
Authorized Official Name MRS. ANGELA WATSON (OWNER)
Authorized Official Telephone 8178229195
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 305S00000X Point of Service Managed Care Organizations
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Little Stars Rehab Doing Business As Name - Organization

Office Location

Street Address 4525 ALTAMESA BLVD
City FORT WORTH
State TX
Zip Code 76133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508110305 Angela Watson Occupational Therapist 4525 Altamesa Blvd, Fort Worth, TX 76133-6215 2012-10-31

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NPI Name Taxonomy Address Enumeration
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1750784286 Tlc Dentistry of Fort Worth, LLC Dentist 7664 Mccart Ave., Fort Worth, TX 76133 2014-09-29
1184047581 Jene Hunt Pharmacist 6225 Westcreek Dr, Fort Worth, TX 76133 2014-01-22
1841538972 Chelsea Rene Sanders Speech-Language Pathologist 6036 Worrell Dr, Fort Worth, TX 76133 2013-01-24
1588926026 Roger Allan Beck Internal Medicine 4509 Fox Fire Way, Fort Worth, TX 76133 2012-06-11
1477824605 Lauren Elizabeth Hall Speech-Language Pathologist 5316 Trail Lake Drive, Fort Worth, TX 76133 2012-01-19
1770772519 Sherriann Michelle Erby Occupational Therapist 7100 Trail Lake Drive, Fort Worth, TX 76133 2007-10-17
1811193170 Carol Diane Edley Speech-Language Pathologist 4400 Sweetgum Way, Ft Worth, TX 76133 2007-06-25
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1538772488 Optimum Kids Ltd Clinic/Center 1240 E Business 83 Ste A, Mission, TX 78572-9600 2020-08-28
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1013528231 Feel Free Pt Clinic/Center 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 2020-08-11
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Competitor

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City FORT WORTH
Zip Code 76133

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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