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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: August 16, 2026.

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

About Cecilia Ismari NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CECILIA ISMARI (NPI 1174248470) is an individual neurology provider in Portland, Oregon, licensed in California (302107) and active in the NPI registry since October 2022. She maintains a secondary practice location in Pomona and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174248470
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameCECILIA ISMARI
Location Address4640 S MACADAM AVE STE 90Portland, OR 97239-4285
Mailing Address14087 Sw Springbrook LnPortland, OR 97223-2026 · (775) 335-5205
Phone(503) 292-0765
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 10, 2022
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1174248470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in CA · 302107
Definition
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.
4640 S MACADAM AVE STE 90, Portland, OR 97239
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Secondary Practice Location 1

Location 1255 E Bonita AvePomona, CA 91767-1923 · Phone (909) 596-7733

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cecilia Ismari is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890216311
PECOS Enrollment IDI20250312002505

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MANGUM LOTR
Occupational Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
LYDIA HOGAN PSYD
Clinical Neuropsychologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
LAURA B. O'CONNOR PSY. D., MFT, BCBA
Psychologist (Clinical)
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
MIA CYWINSKI M.S. CCC-SLP
Speech-Language Pathologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
BRITTANY VICTORIA DICKASON PT, DPT
Physical Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
SILAS MCCUISTON
Recreation Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-5208
ANNA VIVATSON OT
Occupational Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
PROGRESSIVE REHABILITATION ASSOCIATES LLC
Clinic/Center
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cecilia Ismari's NPI number?

The NPI number for Cecilia Ismari is 1174248470. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Cecilia Ismari located?

Cecilia Ismari practices at 4640 S Macadam Ave Ste 90, Portland, OR 97239. The listed phone number is (503) 292-0765.

What is Cecilia Ismari's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Cecilia Ismari enrolled in Medicare?

Yes. Cecilia Ismari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cecilia Ismari accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Cecilia Ismari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cecilia Ismari was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.