JUSTIN L STAKER PT
NPI 1700838810
Physical Therapist in Winona, MN

Active since May 17, 2006
111 RIVERFRONT, WINONA, MN 55987(507) 454-8700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin L Staker Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN L STAKER PT (NPI 1700838810) is an individual physical therapist in Winona, Minnesota, licensed in Minnesota (7647) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1700838810
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJUSTIN L STAKERCredential: PT
Location Address111 RIVERFRONTWinona, MN 55987-3456
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700838810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 7647
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
111 RIVERFRONT, Winona, MN 55987

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin L Staker Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Justin Staker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
111 RIVERFRONT, SUITE 307
WINONA, MN 55987
Physical Therapist
111 RIVERFRONT
WINONA, MN 55987
Physical Therapist
111 RIVERFRONT
WINONA, MN 55987
Specialist
111 RIVERFRONT, STE 307
WINONA, MN 55987
Specialist
111 RIVERFRONT, STE 307
WINONA, MN 55987
Physical Therapist
111 RIVERFRONT
WINONA, MN 55987
Physical Therapist
111 RIVERFRONT
WINONA, MN 55987
Community/Behavioral Health
111 RIVERFRONT, SUITE 210
WINONA, MN 55987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Staker's NPI number?

The NPI number for Justin Staker is 1700838810. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Justin Staker located?

Justin Staker practices at 111 Riverfront, Winona, MN 55987. The listed phone number is (507) 454-8700.

What is Justin Staker's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Justin Staker enrolled in Medicare?

Yes. Justin Staker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Staker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Staker reassigns Medicare benefits to University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Staker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Staker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.