Organization
ALL STAR PHYSICAL THERAPY
Active
Other names
All Star Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JAMES DIMEGLIO OTR/L, HTC (CEO)
(951) 200-3620
Entity
Organization
Contact information
Practice address
24630 WASHINGTON AVE STE 201, MURRIETA, CA 92562-6177
(951) 200-3620
(951) 200-5811
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10446
CA
225XH1200X
Hand Occupational Therapist
6025
CA
235Z00000X
Speech-Language Pathologist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ7035
RR MEDICARE
CA
Enumeration date
02/14/2008
Last updated
05/27/2025
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