Active NPI
Hajime Takashima, MED, ATC, LAT, CSCS
- Athletic Trainer
- Houston, TX
National Provider Identifier
1558717678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4648
- Practice address
- 2121 El Paseo St
1102
Houston, TX 77054-3246 - Phone
- (713) 204-9214
- NPI assigned
- May 7, 2016
- Last updated
- May 7, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4648 | TX | Primary |
Addresses
Primary practice location
2121 El Paseo St
1102
Houston, TX 77054-3246
Mailing address
2121 El Paseo St
1102
Houston, TX 77054-3246
Phone (713) 204-9214
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4648 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462579200000",
"number": "1558717678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 EL PASEO ST",
"address_2": "1102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543246",
"telephone_number": "713-204-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 EL PASEO ST",
"address_2": "1102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543246",
"telephone_number": "713-204-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKASHIMA",
"first_name": "HAJIME",
"credential": "MED, ATC, LAT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-07",
"last_updated": "2016-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.