Jay T Mizuta, DPT is a
Physical Medicine & Rehabilitation based in New York, New York. Jay T Mizuta is licensed to practice in New York (license number 040302) and his current practice location is
535 E 70th St, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 606-1005.
NPI number for Jay T Mizuta is 1992126106 and his current mailing address is 16083 Sw Upper Boones Ferry Rd, Suite 300, Tigard, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992126106.
Healthcare Provider's Profile
| Full Name | Jay T Mizuta |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 535 E 70th St, New York, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992126106
- Provider Enumeration Date: 12/16/2013
- Last Update Date: 04/09/2021
Medical Identifiers
Medical identifiers for Jay T Mizuta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992126106 | NPI | - | NPPES |
| 500666742 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 60309 (Oregon) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 040302 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jay T Mizuta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jay T Mizuta, DPT
16083 Sw Upper Boones Ferry Rd, Suite 300,
Tigard, OR 97224-7736
Ph: (800) 219-8835 | Jay T Mizuta, DPT
535 E 70th St,
New York, NY 10021-4823
Ph: (212) 606-1005 |
Reviews and Comments