Kevin Kei Okura, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT17367 Issued in CA

Practice address

500 W Glenoaks Blvd
Glendale, CA 91202-2813

Phone

(818) 637-2127

Fax

(818) 637-2126

NPI assigned

Jan 15, 2009

Sex

Male

Sole proprietor

No

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine Physical Therapy Group IncGroup PAC ID 1951593540, 2 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 and National Provider Directory roles.

• Sports Medicine Physical Therapy Group Inc.

  • Physical Therapy Clinic/Center
  • La Canada, CA
  • NPI 1548476401
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1346487006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 N WILSON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042446",
            "telephone_number": "626-794-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022813",
            "telephone_number": "818-637-2127",
            "fax_number": "818-637-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKURA",
        "first_name": "KEVIN",
        "middle_name": "KEI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT17367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatobi O Ojo
• Jessica Oka Demmler
• Maxine C Okafor, APRN, PMHNP
• Kent Okawa, M.D.
• Maro Oktanyan, MD
• Augusta Olaore
• Linda Olds-Sherdel
• John G Olea, M.D.
• Olga Yepes, D.D.S
• Koren Oliva

• Orthopedic Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.