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

Mr. Mikio Tanaka, PT

Individual provider Physical Therapist · NPI 1568524304

Mr. Mikio Tanaka, PT is a Physical Therapist in Fremont, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone: (510) 248-3015
Fax: (510) 248-3212
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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 PT22809 (CA)

Record details

NPI number1568524304
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJanuary 3, 2022

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