Ayako Niva Shono, BS, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14876 Issued in CA

Practice address

1401 Avocado Ave Ste 808
Newport Beach, CA 92660-8707

Phone

(949) 706-1001

Fax

(949) 706-1002

NPI assigned

Jun 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Ayako Krum Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Ayako Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
  • NPI 1023353448

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1306007208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 808",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608707",
            "telephone_number": "949-706-1001",
            "fax_number": "949-706-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 808",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608707",
            "telephone_number": "949-706-1001",
            "fax_number": "949-706-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 Rosemary Dr",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801093595",
            "country_code": "US",
            "telephone_number": "303-552-0600",
            "fax_number": "303-955-2957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHONO",
        "first_name": "AYAKO",
        "middle_name": "NIVA",
        "name_prefix": "Ms.",
        "credential": "BS, MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14876",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9236",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "9493989897",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "1401 Avocado Avenue",
            "address_2": "Suite 808",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AYAKO",
            "last_name": "KRUM",
            "prefix": "MRS.",
            "credential": "BS, MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shohet Ear Associates Medical Group Inc
• Jack A Shohet, M.D.
• Pedram Shojai, L.AC.
• Sholeh Shahinfar, Speech Language Pathology Inc (Valued Voices)
• Stephen D Sholkoff, MD
• Nicole Sue Aline Shook, NURSE PRACTITIONER
• Shoreline Health LLC
• Shoreline Senior Solutions Corporation
• Catherine Ann Shreenan, LMFT
• Samantha Shtockmaster

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.