Star Physical Therapy
LBN: J & J Adventures, Llc
Star Physical Therapy is an health care organization with primary practice located at 1901 S Cedar St Ste. B-1, Tacoma WA 98405-2308. 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.
J & J Adventures, Llc can be contacted via phone (253) 272-6910, or through Petrinovich, John P via phone (253) 272-6910.
Contact Information
Primary practice address
1901 S Cedar St Ste. B-1
Tacoma WA 98405-2308
Phone: (253) 272-6910
Fax: (253) 383-4218
Website:
Authorized official contact:
Name: Petrinovich, John P Physical Therapist (PT)
Phone: (253) 272-6910
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 602507009 | Washington |
Profile Details
| NPI number | 1578526638 |
|---|---|
| LBN Legal business name | J & J Adventures, Llc |
| DBA Doing business as | Star Physical Therapy |
| Authorized official | Petrinovich, John P Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Oct 20th, 2008 - about 18 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 | 1578526638 | NPPES |
| Washington | Other | 5508JA | PREMERA BLUE CROSS |
| Washington | Other | 0197666 | PREMERA BLUE CROSS |
| Washington | MEDICAID | 7131824 | PREMERA BLUE CROSS |
| Washington | Other | 5508JA | PREMERA BLUE CROSS |
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