MR. RYAN KATSUMI KISHIMOTO (NPI# 1861680902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861680902 |
| Entity Type | Individual |
| Full Name | MR. RYAN KATSUMI KISHIMOTO |
| Credential | PT, DPT |
| Practice Address |
200 E Del Mar Blvd Ste 302 Pasadena CA 91105-2552 |
| Practice Telephone | 6266838536 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 33864 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 E DEL MAR BLVD STE 302 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073654265 | Kathryn Kumagai Shimamura | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2007-02-09 |
| 1861024713 | Brian Q Cheah | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2020-02-09 |
| 1013491117 | Tiffany Lorraine Waniczek-nowicki | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2018-09-24 |
| 1821527037 | Nicholas Mark Tavoukjian | Specialist/Technologist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2017-06-09 |
| 1073905139 | Anne Ellis | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087217 | Vincent Ho | Physical Therapist | 800 S Raymond Ave Fl 3, Pasadena, CA 91105-3229 | 2019-08-06 |
| 1558567388 | Emma L Green | Physical Therapist | 780 S Arroyo Pkwy, Suites B and C, Pasadena, CA 91105-3232 | 2007-06-27 |
| 1558414763 | David Songchan Im | Physical Therapist | 2245 E. Colorado Blvd., #202, Pasadena, CA 91107 | 2007-01-19 |
| 1710072020 | Jason Thad Stracker | Physical Therapist | 959 E Walnut St Ste 240, Pasadena, CA 91106-1451 | 2006-10-03 |
| 1083271571 | Kelli Blair Gunter | Physical Therapist | 5150 Crenshaw Rd Ste D100, Pasadena, TX 77505-3095 | 2019-05-21 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1336697044 | Sarah Barnes | Physical Therapist | 3280 E Foothill Blvd, Pasadena, CA 91107-3103 | 2016-09-12 |
| 1245697523 | Jennifer Yeunyee Jing | Physical Therapist | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2016-01-18 |
| 1982040614 | William Lee | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2013-05-21 |
| 1639420425 | Andrew Benjamin Piraino | Physical Therapist | 4500 E Sam Houston Pkwy S, Suite 215, Pasadena, TX 77505-3959 | 2012-09-20 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.