Individual provider Active NPI

Katherine Wehri Takayasu, M.D.

  • Integrative Medicine Physician
  • Darien, CT
National Provider Identifier
1518100528
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
051182 Issued in CT
Practice address
745 Post Rd Ste a
Darien, CT 06820-4745
Phone
(203) 883-0346
Fax
(203) 343-0319
NPI assigned
Apr 7, 2009
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 260636-1 NY
Family Medicine Physician 207Q00000X 051182 CT
Integrative Medicine Physician 202D00000X 260636-1 NY
Integrative Medicine Physician 202D00000X 051182 CT Primary

Addresses

Primary practice location

745 Post Rd Ste a
Darien, CT 06820-4745

Mailing address

8 Maple St
Darien, CT 06820-5206
Phone (203) 883-0346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 15, 2026 through Jun 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051182CTMDFamily Medicine Physician
260636-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Therapy, PLLC CurrentSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1518100528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAPLE ST",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205206",
            "telephone_number": "203-883-0346",
            "fax_number": "203-343-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 POST RD STE A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204745",
            "telephone_number": "203-883-0346",
            "fax_number": "203-343-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAYASU",
        "first_name": "KATHERINE",
        "middle_name": "WEHRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "260636-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "051182",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NY",
            "license": "260636-1",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CT",
            "license": "051182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

Verify at the official NPI Registry.