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NPI Code Detail

MEDICARE: STAR PHYSICAL THERAPY

MEDICARE: STAR PHYSICAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1730267204
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 1779 WOODSIDE RD
Second Line : SUITE #102
City : REDWOOD CITY
State : CA
Zip : 94061-3461
Country : US
Telephone Number : 650-780-9700
Fax Number : 650-780-0225
Provider Business Practice Location Address
First Line : 1779 WOODSIDE RD STE 102
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94061-3461
Country : US
Telephone Number : 650-780-9700
Fax Number : 650-780-0225
Authorized Official
Title or Position : OWNER
Name : JASON POWELL
Credential : PT DPT
Telephone Number : 650-780-9700
Provider Enumeration Date : 11/01/2006
Last Update Date : 03/17/2025

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Directions to “STAR PHYSICAL THERAPY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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