Maya Marie Shimamura, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302707 Issued in CA

Practice address

2111 Mission Ave
Oceanside, CA 92058-2395

Phone

(760) 966-4000

NPI assigned

Jun 26, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eat. Play. Love. Occupational Therapy Inc.

  • Occupational Therapist
  • Oceanside, CA
  • NPI 1245948207
  NPD (past)
• Eat. Play. Love. Occupational Therapy LLC

  dba DeveloPLAY

  • Clinic/Center
  • Oceanside, CA
  • NPI 1851062426
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1427734110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 KALPATI CIR APT F",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084162",
            "telephone_number": "951-210-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920582395",
            "telephone_number": "760-966-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4589 Warwick Cir",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564917",
            "country_code": "US",
            "telephone_number": "970-380-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMAMURA",
        "first_name": "MAYA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Meredith Shetula
• Sera Shevchenko, OTD, OTR/L
• Kelli Shiflet, LPCC
• Angela Shih, D.O.
• Michael Shim, M.D.
• Susan Shimomaye, MD
• Shin Foot and Ankle Specialists, Inc
• Shin Foot and Ankle Specialists, Inc.
• Shine Rehab LLC
• Collette Anne Shirley

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.