Active NPI
Marquis Physical Therapy & Spine Rehab, PC
- Physical Therapy Clinic/Center
- Wilsonville, OR
National Provider Identifier
1194139329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 4427
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Physical Therapist
- Woodburn, OR
- NPI 1992926471
O20060125001017
National Provider Directory
National Provider DirectoryLocations
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.