Chad Isamu Nakagawa, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300745 Issued in CA

Practice address

2719 Loker Ave W
Carlsbad, CA 92010-6678

Phone

(760) 918-9200

Fax

(760) 918-9203

NPI assigned

Sep 14, 2021

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

Columbia University College of Physicians and Surgeons, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Function for Life Physical Therapy IncGroup PAC ID 3678758489, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Function for Life Physical Therapy, Inc.

  dba Longevity Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1568767309
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1235809047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 SPECTRUM CENTER BLVD APT 411",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921235040",
            "telephone_number": "714-393-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 LOKER AVE W",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106678",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGAWA",
        "first_name": "CHAD",
        "middle_name": "ISAMU",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PT BOARD",
            "identifier": "300745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Myung
• Maysa K Nagi, MD
• Simrandeep Kaur Nagra
• Martina Nagy, M.T.
• Aileen Najera
• Nakoa Fitness and Physical Therapy LLC (NAKOA Fitness and Physical Therapy)
• Todd H Nalley, DDS MS
• Hemanth Nandakumar
• Nationwide Prime Medical Supplies, LLC
• Natural Harmony Reproductive Acupuncture, Inc (Merritt Jones Family Acupuncture)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.