Peter Louie Magpayo I, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008648 Issued in IL

Practice address

5255 N Riversedge Ter Apt 210
Chicago, IL 60630-1745

Phone

(312) 399-1842

NPI assigned

Apr 22, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1073133799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 N RIVERSEDGE TER APT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301745",
            "telephone_number": "312-399-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 N RIVERSEDGE TER APT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301745",
            "telephone_number": "312-399-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGPAYO",
        "first_name": "PETER",
        "middle_name": "LOUIE",
        "name_suffix": "I",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5255 N Riversedge Ter Apt 210",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606301745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabrielle Magnus
• Rebecca Magnuson, RDN, LDN
• Tanvi Dinesh Mago, OD
• Benjamin L Magod, MD
• Erin E Magoon, LPC
• Mindy Sue Magrane, PSY.D.
• Virgilio M Magsino, M.D.
• Amelyn Cruz Magtanong, ARNP
• Colette Maguire
• J. Gordon Maguire, MD

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.