Joshua Ray Banuelos, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070027715 Issued in OR

Practice address

2780 E Barnett Rd Ste 200
Medford, OR 97504-8674

Phone

(541) 779-6250

NPI assigned

Sep 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Oregon Orthopedics IncGroup PAC ID 1456256528, 64 clinicians

Orthopedic Physical Therapy Services LLCGroup PAC ID 6002942299, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: banuelos.joshua.1@28282.direct.athenahealth.com

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.

• Orthopedic Physical Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Homer Glen, IL
  • NPI 1851621601

  IL

  Medicare reassignment Care Compare group NPD
• Southern Oregon Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Medford, OR
  • NPI 1518093376

  OR

  Medicare reassignment Care Compare group
• Southern Oregon Orthopedics Inc

  • Durable Medical Equipment & Medical Supplies
  • Grants Pass, OR
  • NPI 1942859749
  Care Compare group

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1235916644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-779-6250",
            "fax_number": "541-608-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-779-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Huron St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606543431",
            "country_code": "US",
            "telephone_number": "312-604-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANUELOS",
        "first_name": "JOSHUA",
        "middle_name": "RAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "070027715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mack K Bandler, M.D.
• Anya Elizabeth Bandt, M.D.
• Christy Bannister
• Elizabeth Banowetz, M.D.
• Amanda Singh Bans, LCSW
• Jose De Jesus Barajas Jr., CADC-R
• Robert Bardsley, FNP
• Kayla Barker
• Mary Paige Barker, MPT
• Michael Daniel Barker, PAC

• All providers in Medford, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.