Active NPI
Michael Magyar
- Physical Therapy Assistant
- San Diego, CA
National Provider Identifier
1548795123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA010404
- Practice address
- 12400 High Bluff Dr
San Diego, CA 92130-3077 - Phone
- (866) 871-8519
- NPI assigned
- Apr 20, 2017
- Last updated
- Apr 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-A03439 | KY | MD | Physical Therapy Assistant |
| A4554 | MD | MD | Physical Therapy Assistant |
| PTA010404 | OH | MD | Physical Therapy Assistant |
| 2125051 | TX | MD | Physical 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.