Shirley N. Nakaki, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 6350 Issued in CA

Practice address

1021 Green LN
La Canada, CA 91011-2327

Phone

(818) 952-8634

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649334012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 GREEN LN",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112327",
            "telephone_number": "818-952-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GREEN LN",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112327",
            "telephone_number": "818-952-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAKI",
        "first_name": "SHIRLEY",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 6350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMS 097030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moiez Khankhanian
• Annie Morgan Flores, MA
• Robert Mossad
• Regine Victoria Muradian, PSY.D.
• Maria Absi Nahas, OTR/L
• Veronica Bongil Namgung, L. AC.
• Kathryn Nathan, DPT
• New Age Community Based Adult Services Inc.
• Tracy Uyentrang Nguyen-Oghalai, MD
• Daniel E Niemann, DDS, MD

• Pediatric Physical Therapist in La Canada, CA
• Providers in La Canada, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.