Individual provider Active NPI

Marjorie McCormack Birnie, P.T.

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1821256769
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0603 Issued in OR
Practice address
1646 SW Parkview CT
Portland, OR 97221-2638
Phone
(503) 248-0983
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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 0603 OR Primary

Addresses

Primary practice location

1646 SW Parkview CT
Portland, OR 97221-2638

Mailing address

1646 SW Parkview CT
Portland, OR 97221-2638
Phone (503) 248-0983

Other names 1

  • Marjorie Anne Birnie Other name

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
0603ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1821256769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 SW PARKVIEW CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212638",
            "telephone_number": "503-248-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 SW PARKVIEW CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212638",
            "telephone_number": "503-248-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNIE",
        "first_name": "MARJORIE",
        "middle_name": "MCCORMACK",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "BIRNIE",
            "middle_name": "ANNE",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 28, 2008; 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.