NICHOLAS MAGNUSSON – Physical Therapist, NPI 1023567807

NICHOLAS MAGNUSSON is a healthcare provider. based in Thousand oaks, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT291633 (CA). The NPI Number for NICHOLAS MAGNUSSON is 1023567807

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS MAGNUSSON
NPI
1023567807
Phone
(805) 496-9944
Address
101 Hodencamp Rd Ste 102
Enumeration Date
22 September 2016
Last Update Date
14 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8054969944
Graduation Year
2016 (10 years ago)
PAC ID
4385987338
Group Practice PAC ID
3274446687
Professional Enrollment ID
I20190515002057
Address ID
CA913605831TH101XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for NICHOLAS MAGNUSSON

  • 101 Hodencamp Rd Ste 102

    Thousand Oaks, CA 913605831

    Phone: (805) 496-9944

    Fax: (805) 496-9945

    Type: Location

  • 2381, Magda Circle, Thousand Oaks, Ventura County, California, 91360, United States

    THOUSAND OAKS, CA 913601829

    Phone:

    Type: Mailing

  • 6801, Park Terrace, Westchester, Los Angeles, Los Angeles County, California, 90045, United States

    SUITE 200

    LOS ANGELES, CA 900451543

    Phone: (805) 807-3843

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190515002057IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes992103$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care62773$0
97150Therapy procedure in a group setting60987$0
97530Therapy procedure using functional activities59890$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes32461$0
View full utilization report →

Insurance plans in this area (ZIP 91360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274446687View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-MD

Reviews

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Frequently asked questions

Is there an official ID for NICHOLAS MAGNUSSON in U.S. healthcare records?
The official identifier for NICHOLAS MAGNUSSON is NPI 1023567807.
Is there an active status for NICHOLAS MAGNUSSON?
For scheduling context, NICHOLAS MAGNUSSON is shown as active in the registry.
What kind of doctor is NICHOLAS MAGNUSSON?
NICHOLAS MAGNUSSON is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is NICHOLAS MAGNUSSON associated with Thousand Oaks?
Public fields place NICHOLAS MAGNUSSON around Thousand Oaks, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for NICHOLAS MAGNUSSON is noted as September 22, 2016 where the registry provides it.

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