Active NPI
Derek Robert Straus, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Lacey, WA
National Provider Identifier
1407462518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT61099905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT61099905 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madrona Physical Therapy, PLLC | Current | Accepting new patients | |
| Physiostrength LLC | Current | Accepting new patients | |
| Olympia Physical Therapy & Industrial Rehabilitation, Inc. | Current | Accepting new patients | |
| Olympia Physical Therapy & Industrial Rehabilitation, Inc. | Current | 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.
-
- Physical Therapist
- Tumwater, WA
- NPI 1174562953
-
- Physical Therapist
- Tacoma, WA
- NPI 1104593151
-
- Physical Therapist
- Lacey, WA
- NPI 1467632745
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.