Active NPI
Jamie M Staniszewski, P.T.
- Physical Therapist
- Oakland, CA
National Provider Identifier
1871802298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37542
- Practice address
- 7700 Edgewater Dr
Suite 225
Oakland, CA 94621-3030 - Phone
- (510) 638-8033
- NPI assigned
- Oct 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11552-024 | WI | |
| Physical Therapist | 225100000X | 37542 | CA | Primary |
Addresses
Primary practice location
7700 Edgewater Dr
Suite 225
Oakland, CA 94621-3030
Mailing address
7700 Edgewater Dr
Suite 225
Oakland, CA 94621-3030
Phone (414) 839-1720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37542 | CA | MD | Physical Therapist |
| 11552-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1871802298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 EDGEWATER DR",
"address_2": "SUITE 225",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946213030",
"telephone_number": "414-839-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 EDGEWATER DR",
"address_2": "SUITE 225",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946213030",
"telephone_number": "510-638-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANISZEWSKI",
"first_name": "JAMIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11552-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.