Elyse Haruko Minamide, PT, DPT, NCS

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

37628 Issued in CA

Practice address

14851 Yorba St
Tustin, CA 92780-2925

Phone

(714) 832-9200

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elyse Haruko Minamide Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1629587233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MILAGRO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14851 YORBA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802925",
            "telephone_number": "714-832-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAMIDE",
        "first_name": "ELYSE",
        "middle_name": "HARUKO",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "37628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "MINAMIDE",
            "middle_name": "HARUKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Cherie Lynn Mills, MFT
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• Samuel L Minnifield
• Ana Mir-Hosseini
• Narges Mirjalili
• Frank Angelo Miscione, LCSW
• Sneha Mistry

• Neurology Physical Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.