Individual provider Active NPI

John Akira Otsu, PT

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1770772899
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19550 Issued in CA
Practice address
6000 Santa Rosa Rd
Camarillo, CA 93012-7101
Phone
(805) 388-8086
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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 19550 CA Primary

Addresses

Primary practice location

6000 Santa Rosa Rd
Camarillo, CA 93012-7101

Mailing address

3325 White Birch Cir
Thousand Oaks, CA 91360-6370
Phone (818) 282-6840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113001122 CA Practitioner - Physical Therapist in Private Practice 8820480353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Physical Therapy, Inc.Group PAC ID 5991606493, 4 clinicians

Practice addresses (Care Compare)

110 Jensen CT
Suite 2C
Thousand Oaks, CA 91360-7485
Phone (805) 413-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19550CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Physical Therapy, Inc. Physical Therapist CurrentSince Feb 20, 2025 Accepting new patients
Westlake Physical Therapy, Inc. Physical Therapist PastSince Feb 20, 2025 Accepting new patients

Locations

110 Jensen Ct
Ste 2C
Thousand Oaks, CA 91360
Phone (805) 413-1070

696 Hampshire Rd
Ste 210
Westlake Village, CA 91361
Phone (805) 449-7204

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1770772899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 WHITE BIRCH CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606370",
            "telephone_number": "818-282-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SANTA ROSA RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127101",
            "telephone_number": "805-388-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTSU",
        "first_name": "JOHN",
        "middle_name": "AKIRA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.