Active NPI
Yasuo Kamibayashi, P.T.
- Physical Therapist
- Columbia, SC
National Provider Identifier
1356398515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6084
- Practice address
- 304 Oak Cove Dr
Columbia, SC 29229-7516 - Phone
- (845) 649-6574
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6084 | SC | Primary |
Addresses
Primary practice location
304 Oak Cove Dr
Columbia, SC 29229-7516
Mailing address
304 Oak Cove Dr
Columbia, SC 29229-7516
Phone (845) 649-6574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10768430 | Other | NY | CAQH NO. |
| Q15C23 | Other | NY | EMPIRE BCBS PROV. NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6084 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeroen Keessen | Physical Therapist | Past | Accepting new patients |
| Alpine Physical Therapy, PLLC | Orthopedic | Past | Accepting new patients |
| Pro Motion Physical Therapy,P.C. | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Orthopedic Physical Therapist
- Monticello, NY
- NPI 1235176082
-
- Physical Therapist
- Monroe, NY
- NPI 1083724264
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1356398515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 OAK COVE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297516",
"telephone_number": "845-649-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 OAK COVE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297516",
"telephone_number": "845-649-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIBAYASHI",
"first_name": "YASUO",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NO.",
"identifier": "10768430",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS PROV. NO.",
"identifier": "Q15C23",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.