Active NPI
Diane Shiraishi & Chris Ota Physical Therapy
- Physical Therapist
- San Jose, CA
National Provider Identifier
1902943616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FT468A | Other | CA | PTAN |
Other names 1
- DS Physical Therapy & Sportscare
National Provider Directory
National Provider DirectoryLocations
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.