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

Mr. Kristopher Ryan Watanabe, PT

Individual provider Physical Therapist · NPI 1659412062

Mr. Kristopher Ryan Watanabe, PT is a Physical Therapist in Private Practice in Fresno, California. Qualified in 2003, 23 years ago. Practices with Sports and Orthopedic Physical Therapy Clinic Inc, a 4-clinician group. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6335 N Fresno St Ste 108
Fresno, CA 93710-5272
Phone: (559) 432-0524
Fax: (559) 449-8646
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT29007 (CA)

Record details

NPI number1659412062
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address6335 N Fresno St Ste 108, Fresno, CA 93710-5272

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sports And Orthopedic Physical Therapy Clinic Inc — 4 clinicians
Accepts Medicare assignment Not indicated

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