Active NPI
Rachel Okazaki, PT
- Pediatric Physical Therapist
- Santa Clara, CA
National Provider Identifier
1417709296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 38840
- Practice address
- 1390 Monroe St Apt 8
Santa Clara, CA 95050-4255 - Phone
- (408) 987-8807
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 38840 | CA | Primary |
Addresses
Primary practice location
1390 Monroe St Apt 8
Santa Clara, CA 95050-4255
Mailing address
814 Daffodil Way
San Jose, CA 95117-2305
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38840 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1417709296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 DAFFODIL WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951172305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 MONROE ST APT 8",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504255",
"telephone_number": "408-987-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAZAKI",
"first_name": "RACHEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "38840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.