Individual provider Active NPI

Shannon Nakatsu, DPT

  • Physical Therapist
  • Escondido, CA
National Provider Identifier
1326899865
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305857 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20240429000860 CA Practitioner - Physical Therapist in Private Practice 1153761838 Reassigns benefits to 2 organizations

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
Home Physical Therapy Providers and Wellness IncGroup PAC ID 4789989955, 12 clinicians

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

LicenseStateTypeSpecialty
305857CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proresults Physical Therapy Inc. Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Home Physical Therapy Providers & Wellness Inc. Physical Therapist CurrentSince Mar 1, 2025 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.

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.

Verify at the official NPI Registry.