Individual provider Active NPI

Noel Marcel Tenoso, PT

  • Physical Therapist
  • West Linn, OR
National Provider Identifier
1841334141
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1769 Issued in OR
Practice address
1554 Garden St
Suite #103
West Linn, OR 97068-3278
Phone
(971) 353-5440
Fax
(503) 655-9305
NPI assigned
Feb 19, 2007
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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 1769 OR Primary

Addresses

Primary practice location

1554 Garden St
Suite #103
West Linn, OR 97068-3278

Mailing address

1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120523000307 OR Practitioner - Physical Therapist in Private Practice 3274528815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Pacific University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Motion PLLCGroup PAC ID 6103071014, 30 clinicians

Practice addresses (Care Compare)

1554 Garden St
Suite 103
West Linn, OR 97068-3278
Phone (503) 582-1073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Motion, PLLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

1505 NE 40th Ave
Ste C
Portland, OR 97232
Phone (503) 210-1425

15970 SW Tualatin Sherwood Rd
Sherwood, OR 97140
Phone (971) 206-3400

1554 Garden St
Ste 103
West Linn, OR 97068
Phone (503) 582-1073

1905 SE 192nd Ave
Ste 109
Camas, WA 98607
Phone (360) 210-5440

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1841334141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 109",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415",
            "telephone_number": "360-210-5440",
            "fax_number": "360-210-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 GARDEN ST",
            "address_2": "SUITE #103",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683278",
            "telephone_number": "971-353-5440",
            "fax_number": "503-655-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENOSO",
        "first_name": "NOEL",
        "middle_name": "MARCEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.