Amador Antonio Marcano III, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

19201 SE Division St Ste 100
Gresham, OR 97030-5333

Phone

(503) 405-8235

NPI assigned

Dec 26, 2018

Sex

Male

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Gresham Physical Therapy, Inc.Group PAC ID 8022901966, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cascade Gresham Physical Therapy, Inc.

  • Specialist
  • Gresham, OR
  • NPI 1689657769
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1932671302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LIVINGOOD LN",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970345957",
            "telephone_number": "503-572-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 SE DIVISION ST STE 100",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305333",
            "telephone_number": "503-405-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANO",
        "first_name": "AMADOR",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurdas Mann, OD
• Janet Patricia Mannelin, MSPT
• Michael Jared Manns, DC
• Roya Mansouri, M.D.
• Lois A Marble, CRM
• Mary Therese Marcy, ANP
• Bridget Jean Marick, PAC
• Marion Chiropractic, Inc.
• James Robert Marion, D.C.
• Mary Elizabeth Markham

• Orthopedic Physical Therapist in Gresham, OR
• Providers in Gresham, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.