Organization Active NPI

Marquis Physical Therapy & Spine Rehab, PC

  • Physical Therapy Clinic/Center
  • Wilsonville, OR
National Provider Identifier
1194139329
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4427 Issued in OR
Legal business name
MARQUIS PHYSICAL THERAPY & SPINE REHAB, PC
Practice address
8995 SW Miley Rd
Ste 109
Wilsonville, OR 97070-5484
Phone
(503) 504-5345
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Edward Marquis, DPT
Title
Owner/DPT
Phone
(503) 504-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4427 OR Primary

Addresses

Primary practice location

8995 SW Miley Rd
Ste 109
Wilsonville, OR 97070-5484

Mailing address

8995 SW Miley Rd
Ste 109
Wilsonville, OR 97070-5484
Phone (503) 504-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125001017 OR Part B Supplier - Clinic/Group Practice 8022022342 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodburn, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8995 SW Miley Rd
Ste 109
Wilsonville, OR 97070
Phone (503) 694-8134

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1194139329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD",
            "address_2": "STE 109",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705484",
            "telephone_number": "503-504-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD",
            "address_2": "STE 109",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705484",
            "telephone_number": "503-504-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS PHYSICAL THERAPY & SPINE REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "503-504-5345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "4427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.