Active NPI
Kevin Yukio Fujimoto, DPT
- Orthopedic Physical Therapist
- Hillsboro, OR
National Provider Identifier
1740768423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 61892
- Practice address
- 18650 NW Cornell Rd
Hillsboro, OR 97124-9207 - Phone
- (503) 216-9760
- NPI assigned
- Aug 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 61892 | OR | Primary |
Addresses
Primary practice location
18650 NW Cornell Rd
Hillsboro, OR 97124-9207
Mailing address
17541 SW Rose Petal LN
Beaverton, OR 97003-7634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61892 | OR | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1740768423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17541 SW ROSE PETAL LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970037634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18650 NW CORNELL RD",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249207",
"telephone_number": "503-216-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJIMOTO",
"first_name": "KEVIN",
"middle_name": "YUKIO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "61892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.