Nicole Yamamoto, DPT
NPI 1992570196ActiveIndividual· Physical Therapist· Mill Valley, CA
Physical Therapist (DPT) in Mill Valley, California, trained at Herman Ostrow School of Dentistry of Usc (class of 2023). Medicare paid $65,599 for services to 149 patients in 2024.
Overview
| NPI | 1992570196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 17, 2023 |
| Last updated in NPPES | Nov 17, 2023 |
| Certified by provider | Nov 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 304790 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 149 |
|---|---|
| Services billed | 2,131 across 13 procedure codes |
| Paid by Medicare | $65,599 |
Education and affiliations
| Medical school | Herman Ostrow School of Dentistry of Usc |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Select Cal Physical Therapy PCRiverside, CA · 136 clinicians
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All 52 physical therapists in Mill Valley · All physical therapists in California