Active NPI
Kathy Yoshino Nakanishi, DPT
- Physical Therapist
- Monrovia, CA
National Provider Identifier
1841591856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36776
- Practice address
- 1214 S Alta Vista Ave Apt F
Monrovia, CA 91016-4012 - Phone
- (415) 994-5826
- NPI assigned
- Nov 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36776 | CA | Primary |
Addresses
Primary practice location
1214 S Alta Vista Ave Apt F
Monrovia, CA 91016-4012
Mailing address
1214 S Alta Vista Ave Apt F
Monrovia, CA 91016-4012
Phone (415) 994-5826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Strassner Dr
Saint Louis, MO 63144-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36776 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Organizations & group practices 1
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": "1289088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289088000000",
"number": "1841591856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 S ALTA VISTA AVE APT F",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910164012",
"telephone_number": "415-994-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 S ALTA VISTA AVE APT F",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910164012",
"telephone_number": "415-994-5826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKANISHI",
"first_name": "KATHY",
"middle_name": "YOSHINO",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-07",
"last_updated": "2010-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.