STAR PHYSICAL THERAPY PLLC NPI 1003962523

NPI Information

  • NPI: 1003962523
  • Provider Name: STAR PHYSICAL THERAPY PLLC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 790 AYRAULT ROAD
    FAIRPORT, NY
    ZIP 14450
  • Phone: (585) 425-1018

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NPI Details

STAR PHYSICAL THERAPY PLLC is an orthopedic physical therapist in Fairport, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. STAR PHYSICAL THERAPY PLLC NPI is 1003962523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

790 AYRAULT ROAD
FAIRPORT, NY
ZIP 14450
Phone: (585) 425-1018
Fax: (585) 425-8955

The provider's authorized official is Marcia Spoto .
The authorized official title is Director and has the following contact phone number (585) 425-1018.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 3/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G0187891590OTHERNEW YORKBLUE CHOICE
2BA0386MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3103116FTOTHERNEW YORKPREFILLED CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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