Ms Takae Koyama, DPT is a
Physical Therapist based in Brisbane, California. Ms Takae Koyama is licensed to practice in California (license number 30155) and her current practice location is
122 Swallowtail Ct, Brisbane, California. She can be reached at her office (for appointments etc.) via phone at
(858) 333-1029.
NPI number for Ms Takae Koyama is 1568785970 and her current mailing address is 122 Swallowtail Ct, Brisbane, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568785970.
Healthcare Provider's Profile
| Full Name | Ms Takae Koyama |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 122 Swallowtail Ct, Brisbane, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568785970
- Provider Enumeration Date: 03/12/2010
- Last Update Date: 09/22/2015
Medical Identifiers
Medical identifiers for Ms Takae Koyama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568785970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 30155 (California) | 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. Ms Takae Koyama 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 |
|---|
Ms Takae Koyama, DPT
122 Swallowtail Ct,
Brisbane, CA 94005-1259
Ph: (858) 333-1029 | Ms Takae Koyama, DPT
122 Swallowtail Ct,
Brisbane, CA 94005-1259
Ph: (858) 333-1029 |
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