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

Mr. Takumi Fukunaga, DPT, SCS, ATC, CSCS

Individual provider Athletic Trainer · NPI 1376180786

Mr. Takumi Fukunaga, DPT, SCS, ATC, CSCS is an Athletic Trainer in New York, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

210 E 64th St Fl 5
New York, NY 10065-7471
Phone: (212) 434-2700
Fax: (212) 434-2687
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 030926 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 001601 (NY)

Record details

NPI number1376180786
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , SCS , ATC , CSCS
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESDecember 4, 2019

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