Individual provider Active NPI

James Joseph Cenova, PT

  • Orthopedic Physical Therapist
  • Beaverton, OR
National Provider Identifier
1255315511
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4002 Issued in OR
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

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040226000499 OR Practitioner - Physical Therapist in Private Practice 5799688578 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Westside Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2007 Accepting new patients
Westside Spine & Sports Physical Therapy PastSince Jan 1, 2007 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.

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": []
}

Other providers in Beaverton, OR

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.

Verify at the official NPI Registry.