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

Individual provider Physical Therapist · NPI 1558953885

Nicholas James Takekoshi, PT, DPT is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2020, 6 years ago. Practices with Rausch Physical Therapy Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

485 E 17th St Ste 650
Costa Mesa, CA 92627-4706
Phone: (949) 722-7374
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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 299882 (CA)

Record details

NPI number1558953885
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedFebruary 8, 2021
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rausch Physical Therapy Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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