Individual provider Active NPI

Reiko Takahashi, P.T.

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1326599531
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT291282 Issued in CA
Practice address
955 Lane Ave
201
Chula Vista, CA 91914-4525
Phone
(619) 421-9521
NPI assigned
Oct 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 PT291282 CA Primary
Physical Therapist 225100000X PT-4361 ID

Addresses

Primary practice location

955 Lane Ave
201
Chula Vista, CA 91914-4525

Mailing address

885 Canarios CT
Ste 110
Chula Vista, CA 91910-7877

Other identifiers 1

IdentifierTypeStateIssuer
PT291282OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214000995 CA Practitioner - Physical Therapist in Private Practice 0042590853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Orthopedic Physical Therapy IncGroup PAC ID 4880688910, 20 clinicians

Practice addresses (Care Compare)

955 Lane Ave
Suite 201
Chula Vista, CA 91914-4525
Phone (619) 421-9521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT291282CAMDPhysical Therapist
PT-4361IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Oct 18, 2016 Accepting new patients
Manual Orthopedic Physical Therapy, Inc. Physical Therapist CurrentSince Oct 18, 2016 Accepting new patients

Locations

955 Lane Ave
Ste 201
Chula Vista, CA 91914
Phone (619) 421-9521

885 Canarios Ct
Ste 110
Chula Vista, CA 91910
Phone (619) 349-0797

Organizations & group practices 3

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": "1477180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1326599531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "STE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LANE AVE",
            "address_2": "201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "REIKO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291282",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT291282",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.