Active NPI
Amy Wakabayashi Becker, DPT
- Physical Therapist
- Montrose, CA
National Provider Identifier
1548586332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36638
- Practice address
- 4105 Ocean View Blvd
Suite a
Montrose, CA 91020-1520 - Phone
- (818) 792-5143
- NPI assigned
- Apr 19, 2010
- 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 | 36638 | CA | Primary |
Addresses
Primary practice location
4105 Ocean View Blvd
Suite a
Montrose, CA 91020-1520
Mailing address
39 Congress St
Suite 303
Pasadena, CA 91105-3024
Phone (858) 414-6552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36638 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polito Physical Therapy, Inc. | Past | Accepting new patients | |
| Wakabayashi Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Pasadena, CA
- NPI 1043366073
-
- Physical Therapist
- Montrose, CA
- NPI 1114243904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1548586332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 CONGRESS ST",
"address_2": "SUITE 303",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053024",
"telephone_number": "858-414-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 OCEAN VIEW BLVD",
"address_2": "SUITE A",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201520",
"telephone_number": "818-792-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "AMY",
"middle_name": "WAKABAYASHI",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.