Healthcare Provider Details

I. General information

NPI: 1629724919
Provider Name (Legal Business Name): HANNAH STARI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 HILL RD N
PICKERINGTON OH
43147-1310
US

IV. Provider business mailing address

210 VILLAGE CENTER BLVD
MYRTLE BEACH SC
29579-6706
US

V. Phone/Fax

Practice location:
  • Phone: 614-587-7201
  • Fax:
Mailing address:
  • Phone: 843-712-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019624
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: