Individual provider Active NPI

Lauren Yamada, DPT

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1124621008
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299269 Issued in CA
Practice address
401 Elmgrove Ave
Providence, RI 02906-3451
Phone
(401) 490-9780
NPI assigned
Nov 20, 2020
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299269 CA Primary
Physical Therapist 225100000X 5010 NV

Addresses

Primary practice location

401 Elmgrove Ave
Providence, RI 02906-3451

Mailing address

3762 Fenley Dr
Los Alamitos, CA 90720-2212
Phone (562) 331-1671

Other practice location 1

6695 E Pacific Coast Hwy
Long Beach, CA 90803-4235
Phone (562) 596-7074

Other practice location 2

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000

Other practice location 3

6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862
Phone (702) 818-5000

Other practice location 4

1590 W Sunset Rd Ste 110
Henderson, NV 89014-6633
Phone (702) 818-5000

Other practice location 5

39 Beta Ct
San Ramon, CA 94583-1201
Phone (510) 690-1930

Other practice location 6

9005 S Pecos Rd Ste 2520
Henderson, NV 89074-7191
Phone (702) 818-5000

Other practice location 7

45-547 Plumeria St
Honokaa, HI 96727-6902
Phone (808) 932-4100

Other practice location 8

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000

Other practice location 9

780 Dennery Rd Ste 301
San Diego, CA 92154-8455
Phone (619) 859-4501

Other practice location 10

5029 Evergreen Way
Everett, WA 98203-2826
Phone (425) 252-1642

Other practice location 11

862 Meinecke Ave Ste 101
San Luis Obispo, CA 93405-3702
Phone (805) 619-0414

Other practice location 12

3161 Walnut Ave
Fremont, CA 94538-2216
Phone (510) 796-1000

Other practice location 13

3600 N Interstate Ave
Portland, OR 97227-1106
Phone (503) 249-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210112001585 CA Practitioner - Physical Therapist in Private Practice 5890108864 Reassigns benefits to 3 organizations
I20260105001835 RI Practitioner - Physical Therapist in Private Practice 5890108864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians
Bay State Physical Therapy PCGroup PAC ID 6305176850, 37 clinicians

Practice addresses (Care Compare)

22533 Foothill Blvd
Hayward, CA 94541-4109
Phone (510) 732-7881

401 Elmgrove Ave
Providence, RI 02906-3451
Phone (401) 490-9780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Rhode Island Rehabilitation Institute P.C, Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Movement Works Physical Therapy Inc Physical Therapist CurrentSince Dec 10, 2020 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

6695 E Pacific Coast Hwy
Ste 100
Long Beach, CA 90803
Phone (562) 596-7074

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

780 Dennery Rd
Ste 301
San Diego, CA 92154
Phone (619) 859-4501

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601

401 Elmgrove Ave
Providence, RI 02906
Phone (401) 421-4111

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1124621008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 FENLEY DR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202212",
            "telephone_number": "562-331-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ELMGROVE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063451",
            "telephone_number": "401-490-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6695 E Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908034235",
            "country_code": "US",
            "telephone_number": "562-596-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Buffalo Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450397",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6785 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181862",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 W Sunset Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890146633",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Beta Ct",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831201",
            "country_code": "US",
            "telephone_number": "510-690-1930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9005 S Pecos Rd Ste 2520",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747191",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45-547 Plumeria St",
            "address_purpose": "LOCATION",
            "city": "Honokaa",
            "state": "HI",
            "postal_code": "967276902",
            "country_code": "US",
            "telephone_number": "808-932-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9070 W Cheyenne Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891298935",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Dennery Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921548455",
            "country_code": "US",
            "telephone_number": "619-859-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5029 Evergreen Way",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032826",
            "country_code": "US",
            "telephone_number": "425-252-1642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 Meinecke Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934053702",
            "country_code": "US",
            "telephone_number": "805-619-0414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3161 Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382216",
            "country_code": "US",
            "telephone_number": "510-796-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 N Interstate Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271106",
            "country_code": "US",
            "telephone_number": "503-249-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMADA",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299269",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.