Individual provider Active NPI

Craig Shiraishi, D.P.T.

  • Physical Therapist
  • Santa Clara, CA
National Provider Identifier
1285901389
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38079 Issued in CA
Practice address
1026 Monroe St
Santa Clara, CA 95050-4811
Phone
(408) 246-5861
Fax
(408) 246-2066
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT38079 CA Primary

Addresses

Primary practice location

1026 Monroe St
Santa Clara, CA 95050-4811

Mailing address

1026 Monroe St
Santa Clara, CA 95050-4811
Phone (408) 246-5861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611002873 CA Practitioner - Physical Therapist in Private Practice 3274888466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Physical Therapy CorporationGroup PAC ID 2668863846, 2 clinicians

Practice addresses (Care Compare)

1026 Monroe St
Santa Clara, CA 95050-4811
Phone (408) 246-5861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38079CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CS Physical Therapy Corporation Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients

Locations

2337 Forest Ave
San Jose, CA 95128
Phone (408) 246-5861

1026 Monroe St
Santa Clara, CA 95050
Phone (408) 246-5861

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1285901389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 MONROE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504811",
            "telephone_number": "408-246-5861",
            "fax_number": "408-246-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 MONROE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504811",
            "telephone_number": "408-246-5861",
            "fax_number": "408-246-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAISHI",
        "first_name": "CRAIG",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.