Individual provider Active NPI

Justin Stambaugh, DPT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1356715106
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43231 Issued in CA
Practice address
2299 Post St
Ste LL8
San Francisco, CA 94115-3441
Phone
(415) 929-7677
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43231 CA Primary

Addresses

Primary practice location

2299 Post St
Ste LL8
San Francisco, CA 94115-3441

Mailing address

2299 Post St
Ste LL8
San Francisco, CA 94115-3441
Phone (415) 929-7677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000959 CA Practitioner - Physical Therapist in Private Practice 8820396096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1700 California St
Suite 530
San Francisco, CA 94109-4591
Phone (415) 921-1758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43231CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Select Cal Physical Therapy PC CurrentSince May 7, 2023 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

230 California St
Ste 400
San Francisco, CA 94111
Phone (415) 661-1057

Organizations & group practices 4

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1356715106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "STE LL8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153441",
            "telephone_number": "415-929-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "STE LL8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153441",
            "telephone_number": "415-929-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.