Active NPI
Mitsumaro Motoyoshi, PT
- Physical Therapist
- Folsom, CA
National Provider Identifier
1275527301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26300
- Practice address
- 555 Oakdale St
Suite B
Folsom, CA 95630-2451 - Phone
- (916) 353-0197
- Fax
- (916) 608-4956
- NPI assigned
- Sep 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26300 | CA | Primary |
Addresses
Primary practice location
555 Oakdale St
Suite B
Folsom, CA 95630-2451
Mailing address
555 Oakdale St
Folsom, CA 95630-2451
Phone (916) 353-0197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26300 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275527301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 OAKDALE ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302451",
"telephone_number": "916-353-0197",
"fax_number": "916-608-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 OAKDALE ST",
"address_2": "SUITE B",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302451",
"telephone_number": "916-353-0197",
"fax_number": "916-608-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTOYOSHI",
"first_name": "MITSUMARO",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.