Individual provider Active NPI

Phillip Tatsuya Dobashi, DPT

  • Physical Therapist
  • Newark, CA
National Provider Identifier
1639477292
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37561 Issued in CA
Practice address
5600 Mowry School Rd
Ste 305
Newark, CA 94560-5371
Phone
(510) 651-9258
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 37561 CA Primary

Addresses

Primary practice location

5600 Mowry School Rd
Ste 305
Newark, CA 94560-5371

Mailing address

4205 San Felipe Rd
Ste 100
San Jose, CA 95135-1546
Phone (408) 841-7203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000200 CA Practitioner - Physical Therapist in Private Practice 5294903423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Creek Fitness and Physical TherapyGroup PAC ID 7012994791, 38 clinicians

Practice addresses (Care Compare)

500 E Remington Dr
Suite 18
Sunnyvale, CA 94087-2611
Phone (408) 389-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37561CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Creek Physical Therapy Sunnyvale Physical Therapist CurrentSince Jan 3, 2017 Accepting new patients

Locations

4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552

500 E Remington Dr
Ste 10
Sunnyvale, CA 94087
Phone (408) 289-3600

Organizations & group practices 2

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1639477292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351546",
            "telephone_number": "408-841-7203",
            "fax_number": "408-841-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MOWRY SCHOOL RD",
            "address_2": "STE 305",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605371",
            "telephone_number": "510-651-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBASHI",
        "first_name": "PHILLIP",
        "middle_name": "TATSUYA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.