Individual provider Active NPI

Russell Scott Magers, PT

  • Physical Therapist
  • Middleburg Heights, OH
National Provider Identifier
1336190800
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007207 Issued in OH
Practice address
16570 Commerce CT
Middleburg Heights, OH 44130-6305
Phone
(440) 826-3060
Fax
(440) 826-3070
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007207 OH Primary

Addresses

Primary practice location

16570 Commerce CT
Middleburg Heights, OH 44130-6305

Mailing address

23825 Commerce Park
Ste B
Beachwood, OH 44122-5837
Phone (216) 292-6363

Other identifiers 2

IdentifierTypeStateIssuer
2499283MedicaidOH
P00389970OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Abilities Pediatric Therapy LLC Physical Therapist Past Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1336190800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23825 COMMERCE PARK",
            "address_2": "STE B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225837",
            "telephone_number": "216-292-6363",
            "fax_number": "216-292-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16570 COMMERCE CT",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306305",
            "telephone_number": "440-826-3060",
            "fax_number": "440-826-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGERS",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2499283",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00389970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.