Individual provider Active NPI

Julie Staub, PT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1760435408
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3494 Issued in OR
Practice address
2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone
(541) 228-3130
Fax
(541) 228-3187
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 3494 OR Primary

Addresses

Primary practice location

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Mailing address

25861 Fleck Rd
Veneta, OR 97487-9547
Phone (541) 935-4966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000018 OR Practitioner - Physical Therapist in Private Practice 1759384712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Community Health SolutionsGroup PAC ID 5496667578, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

89 Centennial Loop
Suite a
Eugene, OR 97401-7917
Phone (541) 342-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3494ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions CurrentSince Dec 1, 2017 Accepting new patients
Willamette Community Health Solutions Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
Bodywise Physical Therapy Inc Physical Therapist Past Accepting new patients
Willamette Community Health Solutions Past Accepting new patients

Locations

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1760435408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25861 FLECK RD",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974879547",
            "telephone_number": "541-935-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3130",
            "fax_number": "541-228-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "JULIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.