Kevin Takao, MPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

32822 Issued in CA

Practice address

6759 Sierra CT
Suite a
Dublin, CA 94568-2670

Phone

(925) 803-0530

Fax

(925) 803-2047

NPI assigned

Oct 18, 2006

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rausch Physical Therapy IncGroup PAC ID 9133124282, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rausch Physical Therapy, Inc.

  dba Rausch Orthopedic Rehabilitation & Physical Therapy

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861
  Medicare reassignment Care Compare group
• Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
  • NPI 1013981760
  NPD
• Golden Gate Physical Therapy

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1700816691
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1922189471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6759 SIERRA CT",
            "address_2": "SUITE A",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682670",
            "telephone_number": "925-803-0530",
            "fax_number": "925-803-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 SIERRA CT",
            "address_2": "SUITE A",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682670",
            "telephone_number": "925-803-0530",
            "fax_number": "925-803-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAO",
        "first_name": "KEVIN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "32822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Tabbert
• Leyla Tabesh, DMD
• Kimiya Tahmassebi
• Bolale Tairu-Caswell, P.T.
• Rubena Taj
• Wing Shan Tam, RD
• Tamara Muhler (Word Works)
• Tan Truong OD Inc (IMAGINE Optometry)
• Miwako M Tan, MT-BC
• Pauline Anne Tanael

• Specialist in Dublin, CA
• Providers in Dublin, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.