Geoffrey Scott Staton, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3819 Issued in OR

Practice address

12119 SE Stevens CT
Happy Valley, OR 97086-2620

Phone

(503) 353-1278

Fax

(503) 353-1273

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: geoffrey.staton.1@30939.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Primary Care Group PC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1144319658

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Northwest Primary Care Group PC

  • Family Medicine Physician
  • Milwaukie, OR
  • NPI 1801856737
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1932248127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 N EDISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032908",
            "telephone_number": "503-750-2167",
            "fax_number": "503-283-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12119 SE STEVENS CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862620",
            "telephone_number": "503-353-1278",
            "fax_number": "503-353-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "GEOFFREY",
        "middle_name": "SCOTT",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somnus Anesthesia Services
• Spectrum Eye Care LLC
• Chynna I Springer, LPC
• Peter Josef St George, DO
• Tanisha Stafford
• Breanna Steele
• Bruce M Stelmack, DO
• Delores K Stephens, ND
• Paul K Stewart, LCSW, CADCIII
• Deena Stipsky, MA

• Physical Therapist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.