Lisa Ashley Yamagishi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294851 Issued in CA

Practice address

1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129

Phone

(310) 329-1444

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gardena Physical Therapy IncGroup PAC ID 6709129539, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gardena Physical Therapy Inc

  • Physical Therapist
  • Gardena, CA
  • NPI 1447727235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1053897553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474129",
            "telephone_number": "310-329-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAGISHI",
        "first_name": "LISA",
        "middle_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuriel Obadiah X Chester
• Mickaelle Xavir-Navilys
• William Xu, PT, DPT
• Hajime Yajima, DC
• Gorge Yakoub
• Craig Haruo Yamamoto, D.D.S.
• Eunesse May Yamamoto, RDH
• Ron H Yamane, M.D.
• Yoko Yamane
• Robert Yamasaki, D.D.S.

• Physical Therapist in Gardena, CA
• Providers in Gardena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.