Shingo Tanaka, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10367 Issued in CO

Practice address

225 Eagle Crest St
Rangely, CO 81648-3105

Phone

(970) 675-4205

Fax

(970) 675-4270

NPI assigned

Oct 11, 2007

Last updated

Oct 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy and Occupational Rehabilitation Inc

  dba Infinity Physical Therapy

  • Physical Therapy Clinic/Center
  • East Liverpool, OH
  • NPI 1265521025
  NPD (past)
• Rinaldi Physical Therapy

  • Orthopedic Physical Therapist
  • Boardman, OH
  • NPI 1346250453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1003004342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST ST",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105",
            "telephone_number": "970-675-4205",
            "fax_number": "970-675-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST ST",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105",
            "telephone_number": "970-675-4205",
            "fax_number": "970-675-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "SHINGO",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011869",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Blanco County Nursing Service
• Rio Blanco County School District Re-4
• Linda Elaine Roedell
• Carla Slagle, RD
• Charles K Sutton, M.D.
• Kristen Thayn
• Jean Karyl Ting, M.D.
• Jenny Tipton, M.A. CCC-SLP
• Tyson Alan Torgersen, DO
• Valley View Hospital Association (The Heart and Vascular Center)

• Physical Therapist in Rangely, CO
• Providers in Rangely, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.