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

Nicole Yamamoto, DPT

Individual provider Physical Therapist · NPI 1992570196

Nicole Yamamoto, DPT is a Physical Therapist in Private Practice in Mill Valley, California. Graduated from Herman Ostrow School of Dentistry of USC in 2023, 3 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group. Licensed in California.

Years since qualifying
3
Trained at
Herman Ostrow School of Dentistry of USC
Licensed in
CA
In the registry since
2023
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

421 Miller Ave
Mill Valley, CA 94941-2903
Phone: (415) 388-8166
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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 304790 (CA)

Record details

NPI number1992570196
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolHERMAN OSTROW SCHOOL OF DENTISTRY OF USC
Graduated 2023 (3 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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