Active NPI
Marisa Rose Mowrey, DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1982924429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60098
- Practice address
- 6327 SE Milwaukie Ave
Portland, OR 97202-5418 - Phone
- (503) 353-1278
- Fax
- (503) 353-1273
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60098 | OR | Primary |
Addresses
Primary practice location
6327 SE Milwaukie Ave
Portland, OR 97202-5418
Mailing address
PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4777
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60098 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1982924429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22075",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972692075",
"telephone_number": "503-659-4777",
"fax_number": "503-652-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6327 SE MILWAUKIE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972025418",
"telephone_number": "503-353-1278",
"fax_number": "503-353-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWREY",
"first_name": "MARISA",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.