Individual provider Active NPI

Carole Kishi, P.T.

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1316278732
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 35221 Issued in CA
Practice address
55 S Raymond Ave
Ste 100
Alhambra, CA 91801-7100
Phone
(626) 576-0591
Fax
(626) 576-5890
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 35221 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PT 35221OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 35221CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yonemoto Physical Therapy Services Inc. Physical Therapist PastSince Feb 5, 2012 Accepting new patients

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1316278732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE",
            "address_2": "STE 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": "STE 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017100",
            "telephone_number": "626-576-0591",
            "fax_number": "626-576-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHI",
        "first_name": "CAROLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 35221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT 35221",
            "state": "CA"
        }
    ],
    "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 Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.