David Ishikawa, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.022420 Issued in IL

Practice address

6303 N Clark St
Chicago, IL 60660-1203

Phone

(773) 270-1652

NPI assigned

Aug 22, 2018

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: david.ishikawa.1@25479.direct.athenahealth.com

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.

• Calling Care Services Inc.

  dba Vivia Health

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1861086696
  Medicare reassignment

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1447731047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 N KOSTNER AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124716",
            "telephone_number": "312-863-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601203",
            "telephone_number": "773-270-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIKAWA",
        "first_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070022420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edison A Ishaya, DDS
• Lauren Ann Isherwood, M.S.
• Hamza Ishfaq, M.D
• Talia Fatima Ishfaq
• Nora L Ishibashi, M.S.W., PH.D.
• Laura Ishikawa
• Kei Ishimaru, LPC
• Khachig K Ishkhan, MD
• Michelle Filipski Ishler, LCSW
• Olusegun Adekunle Ishmael, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.