Michael Paul Quesnell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4503 Issued in OR

Practice address

1610 SE Glenwood St
Portland, OR 97202-5615

Phone

(503) 230-1744

Fax

(503) 230-1745

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portland Sports Medicine and Spine Physical Therapy Inc.Group PAC ID 8224113782, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Portland Sports Medicine & Spine Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Portland, OR
  • NPI 1215127873
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497775480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 SE GLENWOOD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025615",
            "telephone_number": "503-230-1744",
            "fax_number": "503-230-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SE GLENWOOD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025615",
            "telephone_number": "503-230-1744",
            "fax_number": "503-230-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESNELL",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Querido
• Kathy Querin, M.A.
• Crystal Suzanne Query, MD
• Lydia Milana Quesada
• Aimee Kathleen Quesnel, PHARMD
• Quest Diagnostics Clinical Laboratories Inc
• Glenda Quezada
• Shiloh Quibell
• Andrew Kevin Quick
• Vicki Linn Quick

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.