Koji Okamoto, MPT | |
21960 Mcclellan Rd, Cupertino, CA 95014-4058 | |
(502) 715-2076 | |
Not Available |
Full Name | Koji Okamoto |
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Gender | Male |
Speciality | Physical Therapist |
Location | 21960 Mcclellan Rd, Cupertino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043485592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 048421 (New York) | Secondary |
225100000X | Physical Therapist | PT 012068 (Ohio) | Secondary |
225100000X | Physical Therapist | 34646 (California) | Primary |
Provider Name | G Sports Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396044194 PECOS PAC ID: 3173792538 Enrollment ID: O20110802000183 |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
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Koji Okamoto, MPT 21960 Mcclellan Rd, Cupertino, CA 95014-4058 Ph: (650) 271-5207 | Koji Okamoto, MPT 21960 Mcclellan Rd, Cupertino, CA 95014-4058 Ph: (502) 715-2076 |
Miss Alisha K Lodhia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20823 Stevens Creek Blvd, Suite 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Nicole-ha Vo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Mrs. Neleigh Fowler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Tyler Jackson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd, Cupertino, CA 95014 Phone: 408-252-6076 | |
Deborah Quinn Lemire, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd, Suite #200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Tonia Scott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Mrs. Anne Akemi Hall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21269 Stevens Creek Blvd, Suite #618, Cupertino, CA 95014 Phone: 408-366-1735 Fax: 408-366-1641 |