Ikuri Ogata, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1753 Issued in WI

Practice address

1532 W Clybourn St
Milwaukee, WI 53233-2202

Phone

(414) 248-3060

NPI assigned

Sep 6, 2017

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609394170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W CLYBOURN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332202",
            "telephone_number": "414-248-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W CLYBOURN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332202",
            "telephone_number": "414-248-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGATA",
        "first_name": "IKURI",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Oestreich, DNP, APNP
• Sandra Lee Oestreich, RN
• Tia Joann Oestreich, LCSW, SAC-IT
• Emmanuel O Offor
• Stephanie J. Offord, APNP
• Chiamaka Josephine Ogemdi Isiguzo, DO
• Mari Ogino, MD
• Latisha Oglesby
• Lorine Oglesby, LPN
• Michelle Oglesby, LPN

• Athletic Trainer in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.