Active NPI
Debra Magnani, DPT
- Physical Therapist
- Gresham, OR
National Provider Identifier
1114496296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62742
- Practice address
- 270 NW Burnside Rd
Gresham, OR 97030-3836 - Phone
- (503) 215-9141
- NPI assigned
- Nov 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 62742 | OR | Primary |
Addresses
Primary practice location
270 NW Burnside Rd
Gresham, OR 97030-3836
Mailing address
6159 SE Steele St
Portland, OR 97206-5458
Phone (510) 557-9273
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 |
|---|---|---|---|
| 62742 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542499200000",
"number": "1114496296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6159 SE STEELE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972065458",
"telephone_number": "510-557-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 NW BURNSIDE RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303836",
"telephone_number": "503-215-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNANI",
"first_name": "DEBRA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-18",
"last_updated": "2018-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.