Nicholas James Takekoshi, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299882 Issued in CA

Practice address

485 E 17TH St Ste 650
Costa Mesa, CA 92627-4706

Phone

(949) 722-7374

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By 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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rausch Physical Therapy IncGroup PAC ID 9133124282, 20 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rausch Physical Therapy, Inc.

  dba Rausch Orthopedic Rehabilitation & Physical Therapy

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861
  Medicare reassignment Care Compare group
• California Therapy Solutions

  • Physical Therapy Clinic/Center
  • Fountain Valley, CA
  • NPI 1548329519

  Physical Therapist

  Medicare reassignment NPD
• California Therapy Solutions

  • Specialist
  • Huntington Beach, CA
  • NPI 1265869523
  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1558953885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 CALLE VALLARTA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733523",
            "telephone_number": "714-656-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E 17TH ST STE 650",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274706",
            "telephone_number": "949-722-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEKOSHI",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Tagorda, OTR
• Ladan Tahvildaran
• Justinna Lang Taing
• Veronica Taira
• Sabrina Taj-Taj
• Ibrahim Takesh
• Adilene Talamante
• Talbert Medical Group
• Grace Tam
• Jonathan Tam, DPT

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.