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STAR REHAB, LLC
NPI 1922000421
Physical Medicine & Rehabilitation - Pain Medicine in Pueblo West, CO

Active since August 15, 2005
201 S MCCULLOCH BLVD, PUEBLO WEST, CO 81007(719) 561-5377 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Star Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR REHAB, LLC (NPI 1922000421) is a healthcare organization registered as a pain medicine in Pueblo West, Colorado and active in the NPI registry since August 2005. The organization lists Lynda Mariko Tsuha, Coo, as its authorized official.

NPPES Registry Identity

NPI1922000421
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSTAR REHAB PROF PHYSICIANS, LLC
Location Address201 S MCCULLOCH BLVDPueblo West, CO 81007-2892
Mailing AddressPo Box 8867Pueblo, CO 81008-8867 · (719) 561-5377 · Fax (719) 561-5378
Phone(719) 561-5377
Organization SubpartNo
Authorized OfficialLynda Mariko TsuhaCoo · (719) 561-5377
Enumeration DateAugust 15, 2005
Last NPPES UpdateAugust 6, 2009
✔ NPI 1922000421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in CO · 39112✔ Licensed in KS · 04-31652
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 44011 (CO)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 31344 (KS)
201 S MCCULLOCH BLVD, Pueblo West, CO 81007
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Other Names 1

Doing Business AsStar Rehab, Llc

Other Identifiers 6

Medicare PINC803160CO
OtherDE2582CO · Rr Medicare
Medicare PIN111176KS
OtherDE2582KS · Rr Medicare
Medicaid200362680AKS
Medicaid53283589CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP THOMAS RAJADAS MD
Physical Medicine & Rehabilitation
201 S MCCULLOCH BLVD
PUEBLO WEST, CO 81007
Pueblo County (719) 561-5377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Star Rehab Prof Physicians, LLC's NPI number?

The NPI number for Star Rehab Prof Physicians, LLC is 1922000421. It was assigned to this organization in the NPPES registry on August 15, 2005. The provider is doing business as Star Rehab, LLC.

Where is Star Rehab Prof Physicians, LLC located?

Star Rehab Prof Physicians, LLC is located at 201 S Mcculloch Blvd, Pueblo West, CO 81007. The listed phone number is (719) 561-5377.

What is Star Rehab Prof Physicians, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Star Rehab Prof Physicians, LLC was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.