Active NPI
Shannon Nakatsu, DPT
- Physical Therapist
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305857
- Practice address
- 255 N Elm St Ste 202
Escondido, CA 92025-3431 - Phone
- (442) 277-4142
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305857 | CA | Primary |
Addresses
Primary practice location
255 N Elm St Ste 202
Escondido, CA 92025-3431
Mailing address
4355 Saint Cloud Way Unit 2
Oceanside, CA 92056-5786
Phone (808) 793-6153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 W 5TH Ave
Suite C
Escondido, CA 92025-4851
Phone (760) 536-2377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305857 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proresults Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Home Physical Therapy Providers & Wellness Inc. | Physical Therapist | Current | Accepting new patients |
Locations
255 N Elm St
Ste 202
Escondido, CA 92025
Phone (442) 277-4142
403 W 5th Ave
Ste C
Escondido, CA 92025
Phone (760) 536-2377
2420 Vista Way
Ste 215
Oceanside, CA 92054
Phone (442) 220-1426
137 S Las Posas Rd
Ste 254
San Marcos, CA 92078
Phone (760) 290-3121
1611 S Melrose Dr
#311
Vista, CA 92081
Organizations & group practices 2
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.
-
- Physical Therapist
- Escondido, CA
- NPI 1073999264
-
- Physical Therapist
- San Marcos, CA
- NPI 1013408434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1326899865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 SAINT CLOUD WAY UNIT 2",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565786",
"telephone_number": "808-793-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N ELM ST STE 202",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253431",
"telephone_number": "442-277-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKATSU",
"first_name": "SHANNON",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.