Individual provider Active NPI

Michael Magyar

  • Physical Therapy Assistant
  • San Diego, CA
National Provider Identifier
1548795123
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA010404 Issued in OH
Practice address
12400 High Bluff Dr
San Diego, CA 92130-3077
Phone
(866) 871-8519
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA010404 OH Primary
Physical Therapy Assistant 225200000X PTA-A03439 KY
Physical Therapy Assistant 225200000X 2125051 TX
Physical Therapy Assistant 225200000X A4554 MD

Addresses

Primary practice location

12400 High Bluff Dr
San Diego, CA 92130-3077

Mailing address

7931 State Route 193
Williamsfield, OH 44093-9729

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA-A03439KYMDPhysical Therapy Assistant
A4554MDMDPhysical Therapy Assistant
PTA010404OHMDPhysical Therapy Assistant
2125051TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1548795123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 STATE ROUTE 193",
            "city": "WILLIAMSFIELD",
            "state": "OH",
            "postal_code": "440939729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303077",
            "telephone_number": "866-871-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGYAR",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA010404",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "PTA-A03439",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2125051",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.