Koji Okamoto, MPT | |
217 Merrick Rd Ste 204, Amityville, NY 11701-3449 | |
(650) 271-5207 | |
Not Available |
Full Name | Koji Okamoto |
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Gender | Male |
Speciality | Physical Therapist |
Location | 217 Merrick Rd Ste 204, Amityville, New York |
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 | PT 012068 (Ohio) | Secondary |
225100000X | Physical Therapist | 34646 (California) | Secondary |
225100000X | Physical Therapist | 048421 (New York) | 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 217 Merrick Rd Ste 204, Amityville, NY 11701-3449 Ph: (650) 271-5207 | Koji Okamoto, MPT 217 Merrick Rd Ste 204, Amityville, NY 11701-3449 Ph: (650) 271-5207 |
Miss Kathryn Tan Kho, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Broadway, Suite 2, Amityville, NY 11701 Phone: 646-327-0453 | |
Nicole Marie Gianotti, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Broadway, Amityville, NY 11701 Phone: 631-691-6900 | |
Dr. Elise Debarbieri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 County Line Rd, Amityville, NY 11701 Phone: 631-608-5600 | |
Vidhi Deepak Gandhi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Broadway Ste 2, Amityville, NY 11701 Phone: 631-789-1900 | |
Core Physical Therapy & Rehabilitation, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 23 Whitney Dr, Amityville, NY 11701 Phone: 516-445-8841 Fax: 631-592-9894 | |
Giovanni Omani Dinsay, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 333 Broadway Ste 2, Amityville, NY 11701 Phone: 631-789-1900 Fax: 631-789-1985 |