Star, Sports Training And Rehabilitation
LBN: Paul Johnson Physical Therapy, Inc
Star, Sports Training And Rehabilitation is an health care organization with primary practice located at 3033 Cleveland Ave. 205, Santa Rosa CA 95403. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Paul Johnson Physical Therapy, Inc can be contacted via phone (707) 542-8313, or through Brown, Shelby Renee via phone (707) 542-8313.
Contact Information
Primary practice address
3033 Cleveland Ave. 205
Santa Rosa CA 95403
Phone: (707) 542-8313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1346460417 |
|---|---|
| LBN Legal business name | Paul Johnson Physical Therapy, Inc |
| DBA Doing business as | Star, Sports Training And Rehabilitation |
| Authorized official | Brown, Shelby Renee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346460417 | NPPES |
| California | Other | ZZZ64164Z | BLUESHIELD |
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