JOHN C STAEB (PT, DPT) – Physical Therapist, NPI 1205542180

JOHN C STAEB (PT, DPT) is a healthcare provider. based in Shelby township, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501302395 (MI). The NPI Number for JOHN C STAEB (PT, DPT) is 1205542180

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JOHN C STAEB (PT, DPT)
NPI
1205542180
Phone
(586) 992-1500
Address
54945 MOUND RD
Enumeration Date
25 January 2023
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
5869921500
Graduation Year
2022 (4 years ago)
PAC ID
3274905237
Group Practice PAC ID
6901814888
Professional Enrollment ID
I20230221001542
Address ID
MI483166028SH54945RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for JOHN C STAEB (PT, DPT)

  • 54945 MOUND RD

    SHELBY TOWNSHIP, MI 483166028

    Phone: (586) 992-1500

    Fax: (586) 992-8050

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230221001542IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes60823$0
97140Therapy procedure using manual technique, each 15 minutes33522$0
97161Evaluation for physical therapy, typically 20 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 48316)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901814888View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What number should I use to identify JOHN C STAEB (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1205542180 for JOHN C STAEB (PT, DPT).
Quick check: is JOHN C STAEB (PT, DPT) active?
Public NPPES data shows JOHN C STAEB (PT, DPT) with an active NPI status right now.
What type of care does JOHN C STAEB (PT, DPT) provide?
JOHN C STAEB (PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JOHN C STAEB (PT, DPT) tied to Shelby Township, Michigan?
If you are local to Shelby Township, Michigan, JOHN C STAEB (PT, DPT) may be relevant to your search.
Who maintains JOHN C STAEB (PT, DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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