Individual provider Active NPI

Michael M Kuriyama, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1629028451
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19570 Issued in CA
Practice address
3528 Torrance Blvd Ste 100
Torrance, CA 90503-4826
Phone
(310) 804-6632
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19570 CA Primary

Addresses

Primary practice location

3528 Torrance Blvd Ste 100
Torrance, CA 90503-4826

Mailing address

16924 S Dalton Ave Apt a
Gardena, CA 90247-5468

Other practice location 1

2601 Airport Dr Ste 115
Torrance, CA 90505-6133
Phone (310) 804-6632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001168 CA Practitioner - Physical Therapist in Private Practice 4880672294 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2601 Airport Dr
Suite 115
Torrance, CA 90505-6133
Phone (310) 325-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19570CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Physical Therapy Assoc Physical Therapist CurrentSince Dec 13, 2022 Accepting new patients

Locations

3500 Lomita Blvd
Ste M100
Torrance, CA 90505
Phone (310) 325-7404

3528 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 325-7404

2601 Airport Dr
Ste 115
Torrance, CA 90505
Phone (310) 325-7404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1629028451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16924 S DALTON AVE APT A",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034826",
            "telephone_number": "310-804-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Airport Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056133",
            "country_code": "US",
            "telephone_number": "310-804-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIYAMA",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.