Active NPI
Magno Physical Therapy
- Physical Therapy Clinic/Center
- Tustin, CA
National Provider Identifier
1245963990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MAGNO PHYSICAL THERAPY
- Practice address
- 14332 Cherrywood LN
Tustin, CA 92780-6946 - Phone
- (650) 445-2542
- NPI assigned
- Jul 8, 2022
- Last updated
- Jul 23, 2022
- 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. Patrick Magno, DPT
- Title
- Owner/Physical Therapist
- Phone
- (650) 445-2542
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
14332 Cherrywood LN
Tustin, CA 92780-6946
Mailing address
14332 Cherrywood LN
Tustin, CA 92780-6946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Tustin, CA
- NPI 1225542640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658534400000",
"number": "1245963990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14332 CHERRYWOOD LN",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14332 CHERRYWOOD LN",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806946",
"telephone_number": "650-445-2542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNO PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A",
"authorized_official_last_name": "MAGNO",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "650-445-2542",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.