Jonathan Staab, DPT

Physical Therapist · Moline, IL

Individual Active NPI

NPI number 1861915613

Practice location

850 43rd Ave Ste 200-300
Moline, IL 61265-8401
Phone
(309) 743-0300
Fax
(309) 743-0318

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NPI record

NPI
1861915613
Entity type
Individual (Type 1)
Enumeration date
July 24, 2017
Last updated
September 5, 2024
Certified
September 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 070-023097 IL
Physical Therapist 225100000X 089351 IA

Mailing address

850 43rd Ave Ste 100
Moline, IL 61265-8401
Phone
(309) 743-2070
Fax
(309) 743-2073

About Dr. Staab

Jonathan Staab, DPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 850 43rd Ave Ste 200-300, Moline, IL 61265-8401. The NPI number 1861915613 was assigned on July 24, 2017 and the record was last updated on September 5, 2024.

Dr. Staab lists 2 licenses in the registry: #070-023097 (IL) for Physical Therapist; #089351 (IA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Staab, DPT?

The NPI number is 1861915613.

What is the phone number of Dr. Staab?

The phone number listed for the practice location is (309) 743-0300.

Where is Dr. Staab located?

850 43rd Ave Ste 200-300, Moline, IL 61265-8401.

What is the taxonomy code for Dr. Staab?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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