Individual provider Active NPI

Rebecca Staples, PT, DPT

  • Geriatric Physical Therapist
  • Bradenton, FL
National Provider Identifier
1659502557
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
63645 Issued in OR
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

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200512003802 OR Practitioner - Physical Therapist in Private Practice 0143655399 Reassigns benefits to 4 organizations
I20250812001794 NH Practitioner - Physical Therapist in Private Practice 0143655399 Reassigns benefits to 2 organizations

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
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

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

LicenseStateTypeSpecialty
18037MAMDGeneral Practice Dentistry
PT34189FLMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premere Rehab LLC Physical Therapist CurrentSince May 26, 2020 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients
Premere Rehab LLC Physical Therapist CurrentSince May 26, 2020 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Sep 30, 2025 Accepting new patients
Oregon Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Fox Rehab-NH, LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Mar 6, 2024 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.

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.

Verify at the official NPI Registry.