Greg S. Macknight, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8473 Issued in OR

Practice address

4016 NE Fremont St
Portland, OR 97212-1952

Phone

(971) 678-7422

NPI assigned

Sep 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PDX Bodyworks Physical Therapy

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1639566698
  NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1083800981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SE TOLMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121952",
            "telephone_number": "971-678-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKNIGHT",
        "first_name": "GREG",
        "middle_name": "S.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mackintosh, ATR LPC
• Rachel Mackintosh, RD LD
• Lawrence Franklin Mackles, M.D.
• Donna B. Macklin, M.A.
• Nancy Lee Macklin, M.S.
• Chelsea Maclane, PSY.D.
• Ivana Maclay
• Lindsay Maclean, QMHA
• Scot R Maclean, MD
• Shayna Brie Maclean, MS

• Physical Therapy Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.