Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayako OTA

Individual provider Physical Therapist · NPI 1821712795

Ayako OTA is a Physical Therapist in Private Practice in San Bruno, California. Graduated from University of California, San Francisco School of Medicine in 2022, 4 years ago. Practices with Agile Physical Therapy Inc, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

901 El Camino Real
San Bruno, CA 94066-3009
Phone: (650) 742-2100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 302869 (CA)

Record details

NPI number1821712795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address3028 Mason Ln, San Mateo, CA 94403-3243

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Agile Physical Therapy Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Bruno