Individual provider Active NPI

Derek Robert Straus, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Lacey, WA
National Provider Identifier
1407462518
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT61099905 Issued in WA
Practice address
8750 Tallon LN NE Ste C
Lacey, WA 98516-6608
Phone
(360) 456-1072
Fax
(360) 459-9954
NPI assigned
Sep 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT61099905 WA Primary

Addresses

Primary practice location

8750 Tallon LN NE Ste C
Lacey, WA 98516-6608

Mailing address

8750 Tallon LN NE Ste C
Lacey, WA 98516-6608
Phone (360) 456-1072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216002804 WA Practitioner - Physical Therapist in Private Practice 6002221454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiostrength LLCGroup PAC ID 0143581785, 16 clinicians

Practice addresses (Care Compare)

2909 S 12TH St
Tacoma, WA 98405-2540
Phone (253) 336-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61099905WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madrona Physical Therapy, PLLC Current Accepting new patients
Physiostrength LLC CurrentSince Feb 12, 2024 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. CurrentSince Dec 28, 2020 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. CurrentSince Dec 28, 2020 Accepting new patients

Locations

8750 Tallon Ln NE
Ste C
Lacey, WA 98516
Phone (360) 456-1072

2909 S 12th St
Tacoma, WA 98405
Phone (253) 336-2040

2755 Mottman Rd SW
Tumwater, WA 98512
Phone (360) 352-5077

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1407462518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 TALLON LN NE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166608",
            "telephone_number": "360-456-1072",
            "fax_number": "360-459-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 TALLON LN NE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166608",
            "telephone_number": "360-456-1072",
            "fax_number": "360-459-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUS",
        "first_name": "DEREK",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT61099905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.