Provider Demographics
NPI:1356817266
Name:STARS PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:STARS PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEKAR-ROHRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-319-2043
Mailing Address - Street 1:101 SOUTH VINE STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320-1140
Mailing Address - Country:US
Mailing Address - Phone:724-319-2043
Mailing Address - Fax:724-252-2650
Practice Address - Street 1:101 SOUTH VINE STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1140
Practice Address - Country:US
Practice Address - Phone:724-319-2043
Practice Address - Fax:724-252-2650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech