Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cecilia Ismari

Individual provider Neurology Physical Therapist · NPI 1174248470

Cecilia Ismari is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Progressive Rehabilitation Associates LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone: (503) 292-0765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 E Bonita Ave, Pomona, CA 91767-1923 — (909) 596-7733

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 302107 (CA)

Record details

NPI number1174248470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address14087 Sw Springbrook Ln, Portland, OR 97223-2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Progressive Rehabilitation Associates Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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