MEDICARE: ALL-STAR PHYSICAL THERAPY LLC

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1194369207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL-STAR PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	38765 MOUND RD STE 101
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	38765 MOUND RD STE 101
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3209
Country	:	US
Telephone Number	:	586-438-7169
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NADIN ZARI
Credential	:
Telephone Number	:	248-688-1186

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	08/23/2024

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