Individual provider Active NPI

Erin Amayi Magaw, PT, MPT

  • Physical Therapist
  • Happy Valley, OR
National Provider Identifier
1285855064
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62849 Issued in OR
Practice address
12119 SE Stevens CT
Happy Valley, OR 97086-2620
Phone
(503) 353-1278
Fax
(503) 353-1273
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 PT008974 GA
Physical Therapist 225100000X 62849 OR Primary

Addresses

Primary practice location

12119 SE Stevens CT
Happy Valley, OR 97086-2620

Mailing address

PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712002534 GA Practitioner - Physical Therapist in Private Practice 3779850797 Reassigns benefits to 2 organizations
I20180906001118 OR Practitioner - Physical Therapist in Private Practice 3779850797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

12119 SE Stevens CT
Happy Valley, OR 97086-2620
Phone (503) 353-1278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6928SCMDProfessional Counselor
PT008974GAMDPhysical Therapist
62849ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 2, 2017 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Northwest Primary Care Group PC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Northwest Primary Care Group, PC Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 2, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 2, 2017 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince May 2, 2017 Accepting new patients
Northwest Primary Care Group PC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

7805 Abercorn St
Ste 21
Savannah, GA 31406
Phone (912) 356-3559

10065 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 992-6750

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

1511 Division St
Ste 102
Oregon City, OR 97045
Phone (503) 334-3035

3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380

12119 SE Stevens Ct
Portland, OR 97086
Phone (503) 353-1278

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Interoperability endpoints

  • Direct secure messaging: erin.magaw.1@30939.direct.athenahealth.com

Organizations & group practices 10

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1285855064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-659-4988",
            "fax_number": "503-659-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12119 SE STEVENS CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862620",
            "telephone_number": "503-353-1278",
            "fax_number": "503-353-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAW",
        "first_name": "ERIN",
        "middle_name": "AMAYI",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008974",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.