Individual provider Active NPI

Bruce I. Takii, PT

  • Physical Therapist
  • Taft, CA
National Provider Identifier
1942239785
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6033 Issued in CA
Practice address
337 S. 10TH St. #G
Taft, CA 93268-3300
Phone
(661) 763-4194
Fax
(661) 763-5792
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 PT6033 CA Primary

Addresses

Primary practice location

337 S. 10TH St. #G
Taft, CA 93268-3300

Mailing address

337 S 10TH St
Ste G
Taft, CA 93268-3300
Phone (661) 763-4194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000042 CA Practitioner - Physical Therapist in Private Practice 5294896619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1971
Medicare assignment
May accept Medicare assignment
Group practices
Chadam Associates IncGroup PAC ID 2567405533, 2 clinicians

Practice addresses (Care Compare)

337 S 10TH St
Suite G
Taft, CA 93268-3300
Phone (661) 763-4194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1942239785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S 10TH ST",
            "address_2": "STE G",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683300",
            "telephone_number": "661-763-4194",
            "fax_number": "661-763-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S. 10TH ST. #G",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683300",
            "telephone_number": "661-763-4194",
            "fax_number": "661-763-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKII",
        "first_name": "BRUCE",
        "middle_name": "I.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taft, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.