Healthcare Provider Details

I. General information

NPI: 1639081516
Provider Name (Legal Business Name): STARR PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 TARO LEAF DR
FORT STEWART GA
31315-1012
US

IV. Provider business mailing address

12 TARO LEAF DR
FORT STEWART GA
31315-1012
US

V. Phone/Fax

Practice location:
  • Phone: 919-414-0215
  • Fax:
Mailing address:
  • Phone: 919-414-0215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KYLIE MILLER STARR
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT, DPT, ATC
Phone: 919-414-0215