Active NPI
Donna Jean Maebori, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1033319959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0447
- Practice address
- 9135 SW Barnes Rd
Suite 362
Portland, OR 97225-6646 - Phone
- (503) 216-8112
- Fax
- (503) 216-4071
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0447 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd
Suite 362
Portland, OR 97225-6646
Mailing address
2400 SW Elmhurst Ave
Beaverton, OR 97005-1266
Phone (503) 626-9754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0447 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1033319959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SW ELMHURST AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051266",
"telephone_number": "503-626-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 362",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256646",
"telephone_number": "503-216-8112",
"fax_number": "503-216-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEBORI",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.