Madysen Linda Magbanua, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3434 Midway Dr Ste 2006
San Diego, CA 92110-4925

Phone

(619) 255-1497

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Therapy Center Inc

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1437882156
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1861217390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 TEXANA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293618",
            "telephone_number": "858-414-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 2006",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104925",
            "telephone_number": "619-255-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGBANUA",
        "first_name": "MADYSEN",
        "middle_name": "LINDA",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Erasga Magat, PT,CEAS
• Sophia Rose Magaudda, LVN
• Pooja Magavi
• Micaela Magazzu-Alaman, MA, LMFT
• Mabel Maria Isabel Magbago
• Destiny Magdalena
• Jaquelyn Magdaleno
• Leticia Magdaleno, LCSW
• Patricia Magdaluyo, CNS, RN
• Ana Marissa Magee

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.