Organization Active NPI

Diane Shiraishi & Chris Ota Physical Therapy

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1902943616
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5363 Issued in CA
Legal business name
DIANE SHIRAISHI & CHRIS OTA PHYSICAL THERAPY
Practice address
2337 Forest Ave
San Jose, CA 95128-4606
Phone
(408) 246-5861
Fax
(408) 246-2066
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Diane Shiraishi, R.P.T.
Title
Physical Therapist
Phone
(408) 246-5861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT5363 CA Primary

Addresses

Primary practice location

2337 Forest Ave
San Jose, CA 95128-4606

Mailing address

2337 Forest Ave
San Jose, CA 95128-4606
Phone (408) 246-5861

Other identifiers 1

IdentifierTypeStateIssuer
FT468AOtherCAPTAN

Other names 1

  • DS Physical Therapy & Sportscare Doing business as

National Provider Directory

National Provider Directory

Locations

2337 Forest Ave
San Jose, CA 95128
Phone (408) 246-5861

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1902943616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 FOREST AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284606",
            "telephone_number": "408-246-5861",
            "fax_number": "408-246-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 FOREST AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284606",
            "telephone_number": "408-246-5861",
            "fax_number": "408-246-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE SHIRAISHI & CHRIS OTA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SHIRAISHI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-246-5861",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FT468A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DS Physical Therapy & Sportscare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.