Active NPI
Angela Ann Stainbrook, DPT
- Physical Therapist
- Yakima, WA
National Provider Identifier
1790972503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010315
- Practice address
- 3801 Summitview Ave
Yakima, WA 98902-2794 - Phone
- (509) 853-3120
- Fax
- (509) 853-1876
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT00010315 | WA | Primary |
Addresses
Primary practice location
3801 Summitview Ave
Yakima, WA 98902-2794
Mailing address
410 S 44TH Ave
Yakima, WA 98908-3303
Phone (307) 389-1877
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, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3801 Summitview Ave
Yakima, WA 98902-2794
Phone (307) 389-1877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010315 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premere Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Angela Ann Stainbrook | Physical Therapist | Current | Accepting new patients |
| Premere Rehab LLC | Physical Therapist | Current | Accepting new patients |
| RPM Rehab, Inc | Physical Therapist | Past | Accepting new patients |
| Cascade Summit Physical Therapy Inc PS | Physical Therapist | Past | Accepting new patients |
Locations
8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365
3801 Summitview Ave
Yakima, WA 98902
Phone (509) 853-1805
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1790972503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S 44TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083303",
"telephone_number": "307-389-1877",
"fax_number": "509-853-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022794",
"telephone_number": "509-853-3120",
"fax_number": "509-853-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAINBROOK",
"first_name": "ANGELA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.