Active NPI
Stephanie Magno, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1538279286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 13765 NW Cornell Rd
Suite 150
Portland, OR 97229-5300 - Phone
- (503) 724-1223
- Fax
- (503) 928-5615
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
13765 NW Cornell Rd
Suite 150
Portland, OR 97229-5300
Mailing address
13765 NW Cornell Rd
Suite 150
Portland, OR 97229-5300
Phone (503) 724-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5134 | Other | OR | OREGON PHYSICAL THERAPY BOARD |
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1538279286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13765 NW CORNELL RD",
"address_2": "SUITE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295300",
"telephone_number": "503-724-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13765 NW CORNELL RD",
"address_2": "SUITE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295300",
"telephone_number": "503-724-1223",
"fax_number": "503-928-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNO",
"first_name": "STEPHANIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON PHYSICAL THERAPY BOARD",
"identifier": "5134",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.