Greg Kurashige, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22641 Issued in CA

Practice address

28924 S Western Ave Ste 101
Rancho Palos Verdes, CA 90275-0813

Phone

(310) 539-8800

Fax

(310) 548-0559

NPI assigned

Oct 26, 2006

Last updated

Apr 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prosport Physical Therapy Professionals IncGroup PAC ID 0749510634, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1346619210
  NPD
• Prosport Physical Therapy Professionals Inc

  dba Palos Verdes Physical Therapy

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1487648341
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1336224708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 101",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750813",
            "telephone_number": "310-548-0104",
            "fax_number": "310-548-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 101",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750813",
            "telephone_number": "310-539-8800",
            "fax_number": "310-548-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12099 W Washington Blvd",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900665882",
            "country_code": "US",
            "telephone_number": "310-391-1559",
            "fax_number": "310-398-9508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURASHIGE",
        "first_name": "GREG",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Isamu Komatsu, M.D.
• Nicola Akiko Koyama, P.T.
• Donna Marie Krogh, PHD
• Allan Ku
• Bryce Robert Kubo, DPT
• Cameron Adam Kwiatkouski, DMD
• Allison Lai, NP, RN
• Wayne Thomas Larsen, O.D.
• Lydia Lau, PT, DPT
• Lee & Mahmoudi Chiropractic Inc

• Physical Therapist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.