Active NPI
Chris M. Ota, RPT
- Sports Physical Therapist
- Campbell, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT13225
- Practice address
- 163 E Hamilton Ave
Campbell, CA 95008-0234 - Phone
- (408) 866-5567
- Fax
- (408) 866-1317
- NPI assigned
- Oct 16, 2006
- Last updated
- Oct 18, 2021
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT13225 | CA | Primary |
Addresses
Primary practice location
163 E Hamilton Ave
Campbell, CA 95008-0234
Mailing address
163 E Hamilton Ave
Campbell, CA 95008-0234
Phone (408) 866-5567
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | derry@campbellpt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
163 E Hamilton Ave
Campbell, CA 95008-0245
Phone (408) 866-5567
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.14
- Improvement activities
- 40
- Cost
- 88.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Physical Therapy Corporation | Sports | Current | Accepting new patients |
| Campbell's Premier Physical Therapy, Inc | Sports | Current | Accepting new patients |
| Diane Shiraishi & Chris Ota PTRS | Sports | Current | Accepting new patients |
Locations
163 E Hamilton Ave
Campbell, CA 95008
Phone (408) 866-5567
2337 Forest Ave
San Jose, CA 95128
Phone (408) 246-5861
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Campbell, CA
- NPI 1508520834
Sports
-
dba Campbell Physical Therapy
- Sports Physical Therapist
- Campbell, CA
- NPI 1720168677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1275613119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 E HAMILTON AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080234",
"telephone_number": "408-866-5567",
"fax_number": "408-866-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 E HAMILTON AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080234",
"telephone_number": "408-866-5567",
"fax_number": "408-866-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTA",
"first_name": "CHRIS",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT13225",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "derry@campbellpt.com",
"affiliation": "N",
"endpointDescription": "Office manager/Administer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "163 E Hamilton Ave",
"city": "Campbell",
"state": "CA",
"country_code": "US",
"postal_code": "950080234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.