CECILIA ISMARI
NPI 1174248470
Physical Therapist - Neurology in Portland, OR

Active since October 10, 2022Accepts Medicare Assignment
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239(503) 292-0765 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2025, Oct 10, 2022 (2 updates tracked since 2022).

  • Individual
  • Female
  • Years of Experience 5
  • Physical Therapist
  • Neurology
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About CECILIA ISMARI

This page provides the complete NPI Profile along with additional information for Cecilia Ismari, a provider established in Portland, Oregon with a medical specialization in Physical Therapist, focusing in neurology and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1174248470 assigned on October 2022. The practitioner's primary taxonomy code is 2251N0400X with license number 302107 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1174248470 Verify this NPI
Provider Name
CECILIA ISMARI
Gender
Female
Entity Type
Individual
Location Address
4640 S MACADAM AVE STE 90 PORTLAND, OR 97239
Location Phone
(503) 292-0765
Mailing Address
14087 SW SPRINGBROOK LN PORTLAND, OR 97223
Mailing Phone
(775) 335-5205
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
10-10-2022
Last Update Date
03-03-2025
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Location Map

Secondary Locations

  • 255 E Bonita Ave
    Pomona, CA 91767
    (909) 596-7733

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Neurology

Taxonomy Code
2251N0400X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
302107
License State
CA
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Cecilia Ismari is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5890216311

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250312002505

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Reviews for CECILIA ISMARI

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Occupational Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Speech-Language Pathologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Physical Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Psychologist (Clinical)
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Clinic/Center
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Occupational Therapist (Neurorehabilitation)
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Occupational Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Counselor (Mental Health)
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Clinical Neuropsychologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174248470, enumerated as an "individual" on October 10, 2022.

The provider is located at 4640 S MACADAM AVE STE 90 PORTLAND, OR 97239 and the phone number is (503) 292-0765.

Physical Therapist with taxonomy code 2251N0400X and a focus in Neurology.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.