Individual provider Active NPI

Katherine Young Shigemoto, PT, DPT

  • Physical Therapist
  • Palo Alto, CA
National Provider Identifier
1952183345
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302152 Issued in CA
Practice address
500 Pasteur Dr
Palo Alto, CA 94304-1048
Phone
(925) 437-5063
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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 302152 CA Primary

Addresses

Primary practice location

500 Pasteur Dr
Palo Alto, CA 94304-1048

Mailing address

3131 Half Dome Dr
Pleasanton, CA 94566-8702
Phone (925) 437-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1952183345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 HALF DOME DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668702",
            "telephone_number": "925-437-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PASTEUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041048",
            "telephone_number": "925-437-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGEMOTO",
        "first_name": "KATHERINE",
        "middle_name": "YOUNG",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.