Mika Ishisaka

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

412 Malcolm Dr Ste 200
Westminster, MD 21157-6174

Phone

(410) 751-7930

NPI assigned

May 3, 2021

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River City Medical Group IncGroup PAC ID 9133415292, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River City Medical Group Inc

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1396198958
  Medicare reassignment Care Compare group NPD
• River City Medical Group, Inc.

  • Physical Therapist
  • Sacramento, CA
  • NPI 1225614068
  NPD
• River City Medical Group, Inc.

  • Pulmonary Disease Physician
  • Sacramento, CA
  • NPI 1912670308
  NPD

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1447833991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7783 SLEEPY RIVER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314483",
            "telephone_number": "916-396-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MALCOLM DR STE 200",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576174",
            "telephone_number": "410-751-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHISAKA",
        "first_name": "MIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Center for Thyroid & Metabolic Disorders LLC
• Internal Medicine & Comprehensive Weight Management LLC
• Melinda Ippolito
• Jessica Alexandra Irving
• Behishta Ishanzai, NP
• Benjamin David Ivester, DO
• J & F Transport LLC
• J Douglas Butler Advanced Surgery Ctr PA
• J. Michael Kroe,D.D.S.,PA
• Nicole L Jackman, LCSW-C

• Physical Therapist in Westminster, MD
• Providers in Westminster, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.