Active NPI
Rebecca Staples, PT, DPT
- Geriatric Physical Therapist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 63645
- Practice address
- 1902 59TH St W
Bradenton, FL 34209-4602 - Phone
- (941) 761-1000
- NPI assigned
- Jul 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT34189 | FL | |
| Physical Therapist | 225100000X | 18037 | MA | |
| Geriatric Physical Therapist | 2251G0304X | 63645 | OR | Primary |
Addresses
Primary practice location
1902 59TH St W
Bradenton, FL 34209-4602
Mailing address
3738 SW Patton Rd
Portland, OR 97221-4128
Phone (503) 680-9425
Other practice location 1
1801 Turnpike St
North Andover, MA 01845-6322
Phone (978) 688-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Woodmont Ave
Londonderry, NH 03053-0000
Phone (888) 531-2204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18037 | MA | MD | General Practice Dentistry |
| PT34189 | FL | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premere Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
| Premere Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
| Oregon Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab-NH, LLC | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
Locations
15 Constitution Dr
Ste 144
Bedford, NH 03110
7 Carnegie Plz
Cherry Hill, NJ 08003
1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042
9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643
4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129
1417 SE 107th Ave
Portland, OR 97216
Phone (503) 408-0404
9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363
8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Organizations & group practices 8
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
- Bedford, NH
- NPI 1811355373
-
- Physical Therapist
- Hillsboro, OR
- NPI 1891397121
-
dba AgeSTRONG Holladay Park Plaza
- Clinic/Center
- Milwaukie, OR
- NPI 1952075962
Physical Therapist
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
OR, Physical Therapist
-
dba AgeRight Therapy Hope Village
- Clinic/Center
- Canby, OR
- NPI 1437019015
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1659502557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3738 SW PATTON RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972214128",
"telephone_number": "503-680-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094602",
"telephone_number": "941-761-1000"
}
],
"practiceLocations": [
{
"address_1": "1801 Turnpike St",
"address_purpose": "LOCATION",
"city": "North Andover",
"state": "MA",
"postal_code": "018456322",
"country_code": "US",
"telephone_number": "978-688-1212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPLES",
"first_name": "REBECCA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "PT34189",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18037",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "OR",
"license": "63645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.