Christopher Kiyoshi Koyanagi, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37640 Issued in CA

Practice address

23332 Hawthorne Blvd
Suite 202
Torrance, CA 90505-3749

Phone

(131) 037-3528

NPI assigned

Mar 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skypark Physical Therapy and RehabilitationGroup PAC ID 2264738517, 3 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.

• Skypark Physical Therapy & Rehabilitation

  dba Skypark Physical Therapy

  • Physical Therapy Clinic/Center
  • Torrance, CA
  • NPI 1114316072
  Medicare reassignment Care Compare group NPD
• Restore the Machine - Physical Therapy Inc

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Torrance, CA
  • NPI 1316505563
  NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1194090381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23332 HAWTHORNE BLVD",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053749",
            "telephone_number": "131-037-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23332 HAWTHORNE BLVD",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053749",
            "telephone_number": "131-037-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYANAGI",
        "first_name": "CHRISTOPHER",
        "middle_name": "KIYOSHI",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT CALIFORNIA STATE LICENSE",
            "identifier": "37640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amr Kouchouk
• Hala Koudsi, M.D.
• Roselie Kounlavouth, MAED, BCBA
• Clement Jerry Kovar II, M.D.
• Mikhail Kovshilovsky, M.D.
• Koyo Psychology, Inc.
• Maggie Kozman
• KPW Medical Associates, PC (PKW Medical Associates, PC)
• KPW Urology Specialty Group
• KPW Urology Specialty Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.