Individual provider Active NPI

Tomoki Ken Usui, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1316535891
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017374 Issued in CO
Practice address
1325 Dry Creek Dr Ste 307
Longmont, CO 80503-7751
Phone
(720) 548-0068
NPI assigned
Jan 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 PTL.0017374 CO Primary

Addresses

Primary practice location

1325 Dry Creek Dr Ste 307
Longmont, CO 80503-7751

Mailing address

16321 Graham Peak Way
Broomfield, CO 80023-8326
Phone (720) 548-0068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003074 CO Practitioner - Physical Therapist in Private Practice 1759727977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 Dry Creek Dr
Suite 307
Longmont, CO 80503-7751
Phone (720) 548-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017374COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Sportsphysio, LLC Physical Therapist CurrentSince Mar 1, 2024 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": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1316535891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16321 GRAHAM PEAK WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238326",
            "telephone_number": "720-548-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 307",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037751",
            "telephone_number": "720-548-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USUI",
        "first_name": "TOMOKI",
        "middle_name": "KEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-09",
        "last_updated": "2024-02-07",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.