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DIANE SHIRAISHI & CHRIS OTA PTRS NPI 1720168677


NPI Information

NPI: 1720168677
Provider Name: DIANE SHIRAISHI & CHRIS OTA PTRS

Doing Business As: CAMPBELL PHYSICAL THERAPY

Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
163 E HAMILTON AVE
CAMPBELL, CA
ZIP 95008
Phone: (408) 866-5567
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DIANE SHIRAISHI & CHRIS OTA PTRS is a sports physical therapist in Campbell, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. DIANE SHIRAISHI & CHRIS OTA PTRS NPI is 1720168677. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Campbell Physical Therapy.

The provider's business location address is:

163 E HAMILTON AVE
CAMPBELL, CA
ZIP 95008-234
Phone: (408) 866-5567
Fax: (408) 866-1317

The provider's authorized official is Chris M. Ota .
The authorized official title is Owner and has the following contact phone number (408) 866-5567.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSportsPT132250CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10PT132250MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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