Toshimitsu Ishizuka, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT004008 Issued in PA

Practice address

250 University Ave
California, PA 15419-1341

Phone

(724) 938-4000

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467581157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 CROSS ST",
            "address_2": "APT.2",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 UNIVERSITY AVE",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191341",
            "telephone_number": "724-938-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIZUKA",
        "first_name": "TOSHIMITSU",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Rae Holt
• Jeanne Marie Holzapfel, BSW
• James Paul Hoover Jr., MS, ATC, LAT
• Joseph Nick Horvath, B.A.
• Marissa Howk
• Jordan Jacobs, PHARMD
• Sophia Laurren Johnson
• Jessica Kissel
• Dynasty Laprade
• Jessica L. Lawrence, BSW

• Athletic Trainer in California, PA
• Providers in California, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.