LITTLE STARS REHAB
NPI 1477812857
Clinic/Center - Rehabilitation in Fort Worth, TX

Active since May 07, 2012
4525 ALTAMESA BLVD, FORT WORTH, TX 76133(817) 822-9195 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation

About LITTLE STARS REHAB

This page provides the complete NPI Profile along with additional information for Little Stars Rehab, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1477812857 assigned on May 2012. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Little Stars Rehab. The authorized official of this NPI record is Mrs. Angela Watson (Owner)

NPI
1477812857 Verify this NPI
Provider Legal Name
LITTLE STAR REHAB
Other Organization Name
LITTLE STARS REHAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4525 ALTAMESA BLVD FORT WORTH, TX 76133
Location Phone
(817) 822-9195
Mailing Address
4525 ALTAMESA BLVD FORT WORTH, TX 76133
Mailing Phone
(817) 822-9195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2012
Last Update Date
11-19-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1305S00000XManaged Care Organizations

Point of Service

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ANGELA WATSON

Authorized Official Title
OWNER
Authorized Official Phone
(817) 822-9195

Reviews for LITTLE STARS REHAB

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rehabilitation)
4525 ALTAMESA BLVD
FORT WORTH, TX 76133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477812857, enumerated as an "organization" on May 07, 2012.

The provider is located at 4525 ALTAMESA BLVD FORT WORTH, TX 76133 and the phone number is (817) 822-9195.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.