Individual provider Active NPI

Roger Dancel Magsino, MPT,OCS

  • Physical Therapist
  • Glendora, CA
National Provider Identifier
1720094279
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27222 Issued in CA
Practice address
450 N Minnesota Ave
Glendora, CA 91741-6920
Phone
(626) 665-2563
NPI assigned
Aug 1, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 PT27222 CA Primary

Addresses

Primary practice location

450 N Minnesota Ave
Glendora, CA 91741-6920

Mailing address

450 N Minnesota Ave
Glendora, CA 91741-6920
Phone (626) 665-2563

Other identifiers 1

IdentifierTypeStateIssuer
PT27222OtherCAPT LISCENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000737 CA Practitioner - Physical Therapist in Private Practice 2264491984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RM Elite Rehab Group IncGroup PAC ID 3971823204, 3 clinicians
Access Rehab Physical Therapy PCGroup PAC ID 7012254774, 3 clinicians

Practice addresses (Care Compare)

1251 Pomona Rd
Suite 108
Corona, CA 92882-7157
Phone (951) 454-3848

630 W Arrow Hwy
San Dimas, CA 91773-2969
Phone (909) 592-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27222CAMDMarriage & Family Therapist
PT27222CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Feb 6, 2014 Accepting new patients
Access Rehab Physical Therapy PC Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 6, 2014 Accepting new patients

Locations

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

630 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 592-2778

Organizations & group practices 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1720094279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N MINNESOTA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416920",
            "telephone_number": "626-665-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MINNESOTA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416920",
            "telephone_number": "626-665-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGSINO",
        "first_name": "ROGER",
        "middle_name": "DANCEL",
        "name_prefix": "Mr.",
        "credential": "MPT,OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LISCENSE",
            "identifier": "PT27222",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.