Individual provider Active NPI

James M Takehara, PT

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1861476723
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24469 Issued in CA
Practice address
2000 Garden Rd
Monterey, CA 93940-5313
Phone
(831) 375-1885
Fax
(831) 375-7436
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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 PT24469 CA Primary

Addresses

Primary practice location

2000 Garden Rd
Monterey, CA 93940-5313

Mailing address

2000 Garden Rd
Monterey, CA 93940-5313
Phone (831) 375-1885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001439 CA Practitioner - Physical Therapist in Private Practice 0547233744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Sports Physical Therapy Centers Inc 37 clinicians

Practice addresses (Care Compare)

101 Wilson Rd
Suite C
Monterey, CA 93940-7864
Phone (831) 375-1885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24469CAMDSocial Worker
PT24469CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Apr 12, 2003 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist CurrentSince Apr 12, 2003 Accepting new patients

Locations

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

2000 Garden Rd
Monterey, CA 93940
Phone (831) 375-1885

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1861476723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GARDEN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405313",
            "telephone_number": "831-375-1885",
            "fax_number": "831-375-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GARDEN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405313",
            "telephone_number": "831-375-1885",
            "fax_number": "831-375-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEHARA",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.