Individual provider Active NPI

Isabella Rose Mansley, DPT

  • Physical Therapist
  • Wilsonville, OR
National Provider Identifier
1639976806
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65604 Issued in OR
Practice address
29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309
Phone
(503) 582-8033
Fax
(503) 855-3191
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 65604 OR Primary

Addresses

Primary practice location

29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309

Mailing address

29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309
Phone (503) 582-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307002055 OR Practitioner - Physical Therapist in Private Practice 9830610732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boones Landing Physical Therapy LLCGroup PAC ID 7810248069, 3 clinicians

Practice addresses (Care Compare)

29174 SW Town Ctr Loop W
Suite 202
Wilsonville, OR 97070-9309
Phone (503) 582-8033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65604ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boones Landing Physical Therapy LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

29174 SW Town Center Loop W
Ste 202
Wilsonville, OR 97070
Phone (503) 582-8033

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1639976806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "503-582-8033",
            "fax_number": "503-855-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "503-582-8033",
            "fax_number": "503-855-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSLEY",
        "first_name": "ISABELLA",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.