Diane Shiraishi & Chris Ota PTRS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT132250 Issued in CA

Legal business name

DIANE SHIRAISHI & CHRIS OTA PTRS

Practice address

163 E Hamilton Ave
Campbell, CA 95008-0234

Phone

(408) 866-5567

Fax

(408) 866-1317

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Chris M. Ota, PTNPI 1275613119

Title

Owner

Phone

(408) 866-5567

Specialties & licenses 1

Addresses

Other names 1

• Campbell Physical Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris M. Ota, RPT

  • Sports Physical Therapist
  • Campbell, CA
  • NPI 1275613119
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1720168677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080234",
            "telephone_number": "408-866-5567",
            "fax_number": "408-866-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080234",
            "telephone_number": "408-866-5567",
            "fax_number": "408-866-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE SHIRAISHI & CHRIS OTA PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-866-5567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT132250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Shay Dettwiler, M.A., APCC
• Caroline Devaney
• Edward Dewees, M.D
• Jagjeet Kaur Dhillon
• Sylvia Di Cello, PT
• Madalena Costa Dias
• Nelson Alexander Diaz-Calderon
• Lorena Diaz, LMFT
• Joseph Vincent Dicarlo, M.D.
• Katrina Diehl, NP

• Sports Physical Therapist in Campbell, CA
• Providers in Campbell, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.