Active NPI
James Joseph Cenova, PT
- Orthopedic Physical Therapist
- Beaverton, OR
National Provider Identifier
1255315511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4002
- Practice address
- 16265 NW Cornell Rd
Suite 100
Beaverton, OR 97006-4868 - Phone
- (503) 466-9800
- Fax
- (503) 466-9817
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4002 | OR | |
| Orthopedic Physical Therapist | 2251X0800X | 4002 | OR | Primary |
Addresses
Primary practice location
16265 NW Cornell Rd
Suite 100
Beaverton, OR 97006-4868
Mailing address
16265 NW Cornell Rd Ste 100
Beaverton, OR 97006-4909
Phone (503) 466-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16265 NW Cornell Rd
Suite 100
Beaverton, OR 97006-4909
Phone (503) 466-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Westside Spine & Sports Physical Therapy | Past | Accepting new patients |
Locations
16265 NW Cornell Rd
Ste 100
Beaverton, OR 97006
Phone (503) 466-9800
Organizations & group practices 2
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.
-
- Physical Therapist
- Beaverton, OR
- NPI 1225165996
-
dba Westside Physical Therapy
- Physical Therapy Clinic/Center
- Beaverton, OR
- NPI 1841226263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1255315511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16265 NW CORNELL RD STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064909",
"telephone_number": "503-466-9800",
"fax_number": "503-466-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16265 NW CORNELL RD",
"address_2": "SUITE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064868",
"telephone_number": "503-466-9800",
"fax_number": "503-466-9817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENOVA",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4002",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "4002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Ismael Alejandro Cerpa-Huerta, LMT
- Lizzet Del Carmen Cervantes Pantoja
- Hadassah Cesarretti, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.