Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony John Stark, LPTA

Individual provider Assisted Living Facility · NPI 1306119102

Anthony John Stark, LPTA is an Assisted Living Facility in Swansea, Illinois. Practices as a sole proprietor. Licensed in Illinois and Texas.

Licensed in
IL, TX
In the registry since
2012
Specialties on file
3

Practice location Address checks out

3751 Round Hill Rd Apt 5
Swansea, IL 62226-1222
Phone: (469) 939-6867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2067563 (TX)
Assisted Living Facility Taxonomy 310400000X · Licence 160.005649 (IL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2067563 (TX)

Record details

NPI number1306119102
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedFebruary 10, 2012
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing address3751 Round Hill Rd, Apt 5, Swansea, IL 62226-1222

Other providers in Swansea