Individual provider Active NPI

Trenton Nakama, DPT

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1013543727
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298274 Issued in CA
Practice address
1224 E Green St FL 2
Pasadena, CA 91106-3169
Phone
(626) 356-4948
NPI assigned
Mar 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 298274 CA Primary

Addresses

Primary practice location

1224 E Green St FL 2
Pasadena, CA 91106-3169

Mailing address

PO Box 5248
Orange, CA 92863-5248
Phone (657) 224-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200401001512 CA Practitioner - Physical Therapist in Private Practice 4789013418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3602 Inland Empire Blvd
Suite A120
Ontario, CA 91764-4983
Phone (909) 256-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body Synergy Physical Therapy, Inc. Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Cosmos Physical Therapy & Wellness Corporation Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients

Locations

3602 Inland Empire Blvd
Ste A120
Ontario, CA 91764
Phone (714) 334-9998

600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12243/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1013543727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5248",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635248",
            "telephone_number": "657-224-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E GREEN ST FL 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063169",
            "telephone_number": "626-356-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMA",
        "first_name": "TRENTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.