NPIMap

Organization Active NPI

Ken Yoshino DPT Atc Physical Therapy a Professional Corporation

  • Physical Therapist
  • Dana Point, CA
National Provider Identifier
1013486646
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KEN YOSHINO DPT ATC PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Practice address
34162 Cambridge Rd
Dana Point, CA 92629-2936
Phone
(949) 690-1048
Fax
(949) 276-4150
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Ken Yoshino, DPT
Title
President/Owner
Phone
(949) 690-1048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

34162 Cambridge Rd
Dana Point, CA 92629-2936

Mailing address

34162 Cambridge Rd
Dana Point, CA 92629-2936
Phone (949) 690-1048

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1013486646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34162 CAMBRIDGE RD",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292936",
            "telephone_number": "949-690-1048",
            "fax_number": "949-276-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34162 CAMBRIDGE RD",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292936",
            "telephone_number": "949-690-1048",
            "fax_number": "949-276-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN YOSHINO DPT ATC PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "YOSHINO",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-690-1048",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.