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

Takako Nishimoto, MPT

Individual provider Physical Therapist · NPI 1811216963

Takako Nishimoto, MPT is a Physical Therapist in Private Practice in Santa Ana, California. Qualified in 2008, 18 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2010
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1206 E 17th St Ste 204
Santa Ana, CA 92701-2641
Phone: (714) 835-3500
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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 PT35638 (CA)

Record details

NPI number1811216963
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedMay 27, 2010
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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