| Organization Name: | STAR PHYSICAL THERAPY PLLC |
| NPI Number: | 1003962523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCIA SPOTO (DIRECTOR) |
| Mailing Address: | 790 Ayrault Road Fairport |
| State: | NY US |
| Postal Code: | 14450 |
| Phone Number: | 5854251018 |
| Fax Number: | 5854258955 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 03/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |