Mr Kristopher Ryan Watanabe, PT in Fresno, CA - Medicare Physical Therapist In Private Practice Provider

Mr Kristopher Ryan Watanabe, PT is a medicare enrolled "Physical Therapist" provider in Fresno, California. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sports And Orthopedic Physical Therapy Clinic Inc and his current practice location is 6335 N Fresno St Ste 108, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 432-0524.

Mr Kristopher Ryan Watanabe is licensed to practice in California (license number PT29007) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1659412062.

Contact Information

	Mr Kristopher Ryan Watanabe, PT
	6335 N Fresno St Ste 108, Fresno, CA 93710-5272
	(559) 432-0524
	(559) 449-8646

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kristopher Ryan Watanabe
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	22 Years
Location	6335 N Fresno St Ste 108, Fresno, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kristopher Ryan Watanabe graduated from medical school in 2003

NPI Data:

NPI Number: 1659412062
Provider Enumeration Date: 02/09/2007
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 1153428693
Enrollment ID: I20070517000746

Medical Identifiers

Medical identifiers for Mr Kristopher Ryan Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659412062	NPI	-	NPPES
PT29007	Other	CA	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT29007 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sports And Orthopedic Physical Therapy Clinic Inc	9436314200	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kristopher Ryan Watanabe allows following entities to bill medicare on his behalf.

Provider Name	Spitzers Physical Therapy And Personal Training Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598853400 PECOS PAC ID: 8729978440 Enrollment ID: O20040317000661

Provider Name	Sports & Orthopedic Physical Therapy Clinic Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1922186956 PECOS PAC ID: 9436314200 Enrollment ID: O20120628000219

Provider Name	Summit Wellness Centers Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073989562 PECOS PAC ID: 1153631205 Enrollment ID: O20151103000022

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. Mr Kristopher Ryan Watanabe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kristopher Ryan Watanabe, PT 6335 N Fresno St Ste 108, Fresno, CA 93710-5272 Ph: (559) 432-0524	Mr Kristopher Ryan Watanabe, PT 6335 N Fresno St Ste 108, Fresno, CA 93710-5272 Ph: (559) 432-0524

Reviews and Comments

Physical Therapist in Fresno, CA

Kimberley Kaur Voelz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 45 E River Park Pl W, Fresno, CA 93720 Phone: 559-573-3430
Lanthan Hakanson, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6335 N Fresno St Ste 108, Fresno, CA 93710 Phone: 594-320-5245 Fax: 559-449-8646
Mr. Randy Scott Hicks, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7405 N Cedar Ave, 103, Fresno, CA 93720 Phone: 559-261-4100 Fax: 559-261-4101
William T Lapham, M.D. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7265 N 1st St, Suite 105 And 103, Fresno, CA 93720 Phone: 615-778-4066
Ms. Taylor Courteney Cox, P.T.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7080 N. Maple Ave #101, Fresno, CA 93720 Phone: 559-326-5580
Renel Ralston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1243 E Spruce Ave, Suite 105, Fresno, CA 93720 Phone: 559-431-6700 Fax: 559-431-6777
Ms. Lisa Marie Cuevas, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7065 N Maple Ave, Fresno, CA 93720 Phone: 559-299-9989 Fax: 559-299-9979

Mr Kristopher Ryan Watanabe, PT - Medicare Physical Therapist in Fresno, CA