Michael Staszak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2900 Issued in OR

Practice address

488 E 11TH Ave
Ste 150a
Eugene, OR 97401-3601

Phone

(541) 505-8180

Fax

(541) 505-7134

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Staszak Physical TherapyGroup PAC ID 1951581750, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Staszak Physical Therapy

  • Physical Therapist
  • Eugene, OR
  • NPI 1770884652
  Medicare reassignment Care Compare group NPD
• Bodywise Physical Therapy Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1629021290
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1932152022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5571",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050571",
            "telephone_number": "541-505-8180",
            "fax_number": "541-505-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E 11TH AVE",
            "address_2": "STE 150A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013601",
            "telephone_number": "541-505-8180",
            "fax_number": "541-505-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASZAK",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Starr, F.R.A.
• Martin Starr, LCSW
• Sandra M Starr, LCSW
• Danny E Staso, PHD
• Staszak Physical Therapy
• Jennifer Shenandoah Staten
• Sharon Lynn Stater
• Julie Staub, PT
• Sarah Elizabeth Stauffer, M.S.W.
• Dustin David Stauth

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.