Individual provider Active NPI

Ross Yukio Takesue, PT, DPT

  • Physical Therapist
  • Orange, CA
National Provider Identifier
1679232821
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301365 Issued in CA
Practice address
239 E Katella Ave
Orange, CA 92867-4853
Phone
(714) 538-0025
Fax
(714) 538-3128
NPI assigned
Dec 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 301365 CA Primary

Addresses

Primary practice location

239 E Katella Ave
Orange, CA 92867-4853

Mailing address

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone (714) 988-8110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510000572 CA Practitioner - Physical Therapist in Private Practice 6204213440 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coury and Buehler Physical Therapy - Moreno Valley IncGroup PAC ID 3375073349, 4 clinicians

Practice addresses (Care Compare)

24318 Hemlock Ave
Suite A1
Moreno Valley, CA 92557-7223
Phone (951) 485-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301365CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Newport, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Fountain Valley, Inc. Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Moreno Valley, Inc. Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Coury & Buehler Physical Therapy - Lake Forest, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist Current Accepting new patients

Locations

755 N Shepard St
Anaheim, CA 92806
Phone (714) 630-6252

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

10061 Talbert Ave
Ste 100
Fountain Valley, CA 92708
Phone (714) 632-2822

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

24318 Hemlock Ave
Ste A1
Moreno Valley, CA 92557
Phone (951) 485-3800

3300 Irvine Ave
Ste 130
Newport Beach, CA 92660
Phone (949) 271-0053

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

13931 Carroll Way
Ste B
Tustin, CA 92780
Phone (714) 988-8120

Organizations & group practices 11

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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1679232821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-988-8110",
            "fax_number": "714-988-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674853",
            "telephone_number": "714-538-0025",
            "fax_number": "714-538-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKESUE",
        "first_name": "ROSS",
        "middle_name": "YUKIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.