NPIMap

Organization Active NPI

Evelyn Joy Kagawa

Doing business as Sierra Physical Therapy

  • Physical Therapy Clinic/Center
  • Oakhurst, CA
National Provider Identifier
1144356981
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT10146 Issued in CA
Legal business name
EVELYN JOY KAGAWA
Doing business as
Sierra Physical Therapy
Practice address
48677 Victoria LN
Ste 101
Oakhurst, CA 93644-9216
Phone
(559) 683-4444
Fax
(559) 683-7053
NPI assigned
Feb 26, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Evelyn Joy Kagawa, P.T.NPI 1912914532
Title
Physical Therapist
Phone
(559) 683-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT10146 CA Primary

Addresses

Primary practice location

48677 Victoria LN
Ste 101
Oakhurst, CA 93644-9216

Mailing address

PO Box 2365
Oakhurst, CA 93644-9216
Phone (559) 683-4444

Other identifiers 3

IdentifierTypeStateIssuer
0PT10146OtherCALICENSE
P43249OtherCAUPIN
OPT101460OtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • SIERRA PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

48677 Victoria Ln
Ste 101
Oakhurst, CA 93644
Phone (559) 683-4444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1144356981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2365",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-4444",
            "fax_number": "559-683-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LN",
            "address_2": "STE 101",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-4444",
            "fax_number": "559-683-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN JOY KAGAWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "KAGAWA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "559-683-4444",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT10146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0PT10146",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P43249",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "OPT101460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIERRA PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.