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

Nathan Wakamoto, DPT

Individual provider Physical Therapist · NPI 1104643089

Nathan Wakamoto, DPT is a Physical Therapist in Private Practice in Ventura, California. Qualified in 2024, 2 years ago. Practices with Blayne Robinson Liparoto, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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

4572 Telephone Rd Ste 903
Ventura, CA 93003-5663
Phone: (805) 654-8127
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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 306825 (CA)

Record details

NPI number1104643089
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address4572 Telephone Rd Ste 903, Ventura, CA 93003-5663

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Blayne Robinson Liparoto — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ventura