Active NPI
Marquis Physical Therapy & Spine Rehab, PC
- Physical Therapist
- Woodburn, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4427
- Legal business name
- MARQUIS PHYSICAL THERAPY & SPINE REHAB, PC
- Practice address
- 2241 Country Club Rd
Woodburn, OR 97071 - Phone
- (503) 982-8544
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Edward Marquis, PT
- Title
- Owner
- Phone
- (503) 982-8544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4427 | OR | Primary |
| Physical Therapist | 225100000X | 3455 | OR | |
| Physical Therapist | 225100000X | 6394 | OR |
Addresses
Primary practice location
2241 Country Club Rd
Woodburn, OR 97071
Mailing address
2241 Country Club Rd
Woodburn, OR 97071-2811
Phone (503) 982-8544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060125001017 | OR | Part B Supplier - Clinic/Group Practice | 8022022342 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Woodburn, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Wilsonville, OR
- NPI 1194139329
O20060125001017
National Provider Directory
National Provider DirectoryLocations
2241 Country Club Rd
Woodburn, OR 97071
Phone (503) 982-4200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Woodburn, OR
- NPI 1508806761
-
- Physical Therapist
- Woodburn, OR
- NPI 1003793639
-
- Physical Therapist
- Newberg, OR
- NPI 1952377608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529280000000",
"number": "1992926471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 COUNTRY CLUB RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970712811",
"telephone_number": "503-982-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 COUNTRY CLUB RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "97071",
"telephone_number": "503-982-8544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUIS PHYSICAL THERAPY & SPINE REHAB, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2018-06-18",
"status": "A",
"authorized_official_last_name": "MARQUIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-982-8544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "4427",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "3455",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "6394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.