NPIMap

Organization Active NPI

Yonemoto Physical Therapy Services Inc.

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1285711309
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8242 Issued in CA
Legal business name
YONEMOTO PHYSICAL THERAPY SERVICES INC.
Practice address
55 S Raymond Ave
Suite 100
Alhambra, CA 91801-7100
Phone
(626) 576-0591
Fax
(626) 576-5890
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Mr. Herbert Castillo
Title
Finance Manager
Phone
(626) 576-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT8242 CA Primary

Addresses

Primary practice location

55 S Raymond Ave
Suite 100
Alhambra, CA 91801-7100

Mailing address

55 S Raymond Ave
Suite 100
Alhambra, CA 91801-7100
Phone (626) 576-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070815000442 CA Part B Supplier - Clinic/Group Practice 4880786219 Receives reassigned benefits from 5 practitioners
Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Locations

55 S Raymond Ave
Ste 100
Alhambra, CA 91801
Phone (626) 576-0591

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1285711309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE",
            "address_2": "SUITE 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017100",
            "telephone_number": "626-576-0591",
            "fax_number": "626-576-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE",
            "address_2": "SUITE 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017100",
            "telephone_number": "626-576-0591",
            "fax_number": "626-576-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONEMOTO PHYSICAL THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "626-576-0591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.