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

Nyra G Mabanta, PT, DPT

Individual provider Physical Therapist · NPI 1578459046

Nyra G Mabanta, PT, DPT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 2025, 1 year ago. Practices with Therapeutic Associates Inc, a 322-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

515 Taggart Dr NW Ste 150
Salem, OR 97304-4149
Phone: (503) 363-6770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 N 5th St, Lebanon, OR 97355-2876 — (541) 497-7265

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 65754 (OR)

Record details

NPI number1578459046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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