Individual provider Active NPI

Kayla Uemura, DPT

  • Physical Therapist
  • Watsonville, CA
National Provider Identifier
1265046718
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298843 Issued in CA
Practice address
60 Penny LN
Watsonville, CA 95076-3079
Phone
(831) 786-9000
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT298843 CA Primary

Addresses

Primary practice location

60 Penny LN
Watsonville, CA 95076-3079

Mailing address

6316 E Blairwood LN
Orange, CA 92867-2487
Phone (808) 756-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201025000045 CA Practitioner - Physical Therapist in Private Practice 9133549538 Reassigns benefits to 1 organization
I20251125001246 HI Practitioner - Physical Therapist in Private Practice 9133549538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Therapists, IncGroup PAC ID 9436145166, 4 clinicians
Crossroads Rehab LLCGroup PAC ID 9335439116, 4 clinicians

Practice addresses (Care Compare)

60 Penny LN
Watsonville, CA 95076-3079
Phone (831) 786-9000

75 -1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666
Phone (808) 334-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT298843CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Therapists, Inc Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
High Desert Therapists, Inc Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
Crossroads Rehab LLC Physical Therapist CurrentSince Nov 13, 2025 Accepting new patients

Locations

60 Penny Ln
Watsonville, CA 95076
Phone (831) 786-9000

75-1029 Henry St
Ste 101
Kailua Kona, HI 96740
Phone (808) 334-0806

844 W Nye Ln
Ste 102
Carson City, NV 89703
Phone (971) 772-0940

4790 Caughlin Pkwy
Reno, NV 89519
Phone (775) 348-9798

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1265046718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 E BLAIRWOOD LN",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928672487",
            "telephone_number": "808-756-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PENNY LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "831-786-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEMURA",
        "first_name": "KAYLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.