Individual provider Active NPI

Joseph Adam Bekaert, DPT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1003390329
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65257 Issued in OR
Practice address
1835 Pearl St
Eugene, OR 97401-8217
Phone
(541) 505-8180
NPI assigned
Sep 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 65257 OR Primary
Physical Therapist 225100000X 295124 CA

Addresses

Primary practice location

1835 Pearl St
Eugene, OR 97401-8217

Mailing address

1835 Pearl St
Eugene, OR 97401-8217
Phone (541) 505-8180

Other practice location 1

454 Forest Ave
Palo Alto, CA 94301-2608
Phone (650) 331-3700

Other practice location 2

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (650) 853-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001380 OR Practitioner - Physical Therapist in Private Practice 5698155083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staszak Physical TherapyGroup PAC ID 1951581750, 7 clinicians

Practice addresses (Care Compare)

488 E 11TH Ave
Suite 150a
Eugene, OR 97401-3601
Phone (541) 505-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65257ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Staszak Physical Therapy Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

1835 Pearl St
Fl 1
Eugene, OR 97401

488 E 11th Ave
Ste 150A
Eugene, OR 97401
Phone (541) 505-8180

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1003390329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018217",
            "telephone_number": "541-505-8180",
            "fax_number": "541-505-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018217",
            "telephone_number": "541-505-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012608",
            "country_code": "US",
            "telephone_number": "650-331-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012302",
            "country_code": "US",
            "telephone_number": "650-853-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKAERT",
        "first_name": "JOSEPH",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65257",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.