Active NPI
Fumiyo Makino, M.S.,P.T.
- Physical Therapist
- Campbell, CA
National Provider Identifier
1447288733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21172
- Practice address
- 297 Dunster Dr
Campbell, CA 95008-1101 - Phone
- (408) 850-0592
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21172 | CA | Primary |
Addresses
Primary practice location
297 Dunster Dr
Campbell, CA 95008-1101
Mailing address
297 Dunster Dr.
Campbell, CA 95008-1101
Phone (408) 850-0592
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21172 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1447288733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 DUNSTER DR.",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081101",
"telephone_number": "408-850-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 DUNSTER DR",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081101",
"telephone_number": "408-850-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKINO",
"first_name": "FUMIYO",
"credential": "M.S.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.