Individual provider Active NPI

Robert B Stillwagon, PT

  • Physical Therapist
  • Kingsburg, CA
National Provider Identifier
1558665877
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37408 Issued in CA
Practice address
392 Sierra St
Kingsburg, CA 93631
Phone
(559) 869-4736
Fax
(559) 419-5791
NPI assigned
Dec 29, 2010
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 PT37408 CA Primary

Addresses

Primary practice location

392 Sierra St
Kingsburg, CA 93631

Mailing address

701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806

Other practice location 1

1601 S Victoria Ave
Oxnard, CA 93035-2168
Phone (805) 861-1121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000542 CA Practitioner - Physical Therapist in Private Practice 8729269212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

392 Sierra St
Kingsburg, CA 93631-1706
Phone (559) 869-4736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37408CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jun 22, 2019 Accepting new patients
Terrio Therapy-Fitness, Inc. Physical Therapist CurrentSince Jan 12, 2019 Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jun 22, 2019 Accepting new patients

Locations

1800 Westwind Dr
Ste 500
Bakersfield, CA 93301
Phone (661) 322-9411

3400 Calloway Dr
Ste 603
Bakersfield, CA 93312

2960 E Nees Ave
Ste 108
Fresno, CA 93720
Phone (559) 322-4103

6770 N West Ave
Ste 101A
Fresno, CA 93711
Phone (559) 878-4266

1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200

701 W Center Ave
Visalia, CA 93291

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1558665877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916015",
            "telephone_number": "559-713-6806",
            "fax_number": "559-713-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 SIERRA ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "93631",
            "telephone_number": "559-869-4736",
            "fax_number": "559-419-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 S Victoria Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930352168",
            "country_code": "US",
            "telephone_number": "805-861-1121",
            "fax_number": "805-861-1124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWAGON",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.