# ALL STAR PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Star Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750559431
- **Authorized official:** PAUL JAMES DIMEGLIO OTR/L, HTC (CEO)
- **Authorized official phone:** (951) 200-3620

## Contact information

- **Practice address:** 24630 WASHINGTON AVE STE 201, MURRIETA, CA 92562-6177
- **Practice address phone:** (951) 200-3620
- **Practice address fax:** (951) 200-5811
- **Mailing address:** 1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 10446 | CA | Yes |
| 225XH1200X | Hand Occupational Therapist | 6025 | CA | — |
| 235Z00000X | Speech-Language Pathologist | — | CA | — |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 05/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DQ7035 | RR MEDICARE | CA |
