Active NPI
Andrew Okamoto, DPT
- Physical Therapist
- San Leandro, CA
National Provider Identifier
1619206927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36237
- Practice address
- 2587 Merced St
San Leandro, CA 94577-4207 - Phone
- (510) 351-3553
- Fax
- (510) 351-3585
- NPI assigned
- Dec 15, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36237 | CA | Primary |
Addresses
Primary practice location
2587 Merced St
San Leandro, CA 94577-4207
Mailing address
3465 Richmond Blvd Apt 102
Oakland, CA 94611-5800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1619206927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 RICHMOND BLVD APT 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2587 MERCED ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774207",
"telephone_number": "510-351-3553",
"fax_number": "510-351-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAMOTO",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.