Ashley Oyakawa, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291179 Issued in CA

Practice address

419 S Glendora Ave
Glendora, CA 91741-6216

Phone

(808) 489-4954

NPI assigned

Dec 23, 2015

Last updated

Oct 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Physical Therapy Specialists, Inc

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1346300670

  Physical Therapist

  Medicare reassignment NPD
• Foothill Family Service - Hudson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1336275056
  NPD (past)

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1265897920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416216",
            "telephone_number": "808-489-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416216",
            "telephone_number": "808-489-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYAKAWA",
        "first_name": "ASHLEY",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291179",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9400 Rosecrans Ave",
            "city": "Bellflower",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907062246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daisy Osorio-Luna, MA
• Lori Osterman Fructuoso, LPT
• Our Parents Home Care, Inc.
• Owais Zaidi Medical Corporation
• Andrew Christian Owen, D.O., D.C.
• Karen Summer Pabalan, NP-C
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Elisa Padilla, MSW, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.