Nicole Yamamoto, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304790 Issued in CA

Practice address

421 Miller Ave
Mill Valley, CA 94941-2903

Phone

(415) 388-8166

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nikki Yamamoto Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Herman Ostrow School of Dentistry of Usc, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Active Marin Physical Therapy IncGroup PAC ID 1052466950, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Active Marin Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Larkspur, CA
  • NPI 1184852766
  Medicare reassignment Care Compare group NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008
  Medicare reassignment Care Compare group
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1053074674

  Physical Therapist

  NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004

  Physical Therapist

  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1992570196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 CALLE MORELIA",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665777",
            "telephone_number": "925-605-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412903",
            "telephone_number": "415-388-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "YAMAMOTO",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Woodard, MD
• Chelsey Worth, CD-L, PIC
• Anne C Wrigley
• Caiyun Xu
• Yael Melamed, a Marriage Family Therapy Corp.
• Fanny Yan
• Yang & Lee DDS. Inc.
• Chunbaixue Yang
• Leo Yang, DDS
• Frances Helen Yankie, DDS

• Physical Therapist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.