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

Kevin Nakayama, DPT

Individual provider Physical Therapist · NPI 1205397536

Kevin Nakayama, DPT is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Athletic Physical Therapy Inc, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12424 Wilshire Blvd Fl 1
Los Angeles, CA 90025-1052
Phone: (310) 826-2977
Fax: (310) 826-2977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 43638 (CA)

Record details

NPI number1205397536
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Athletic Physical Therapy Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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