KOJI OKAMOTO (MPT) – Physical Therapist, NPI 1043485592
Physical Therapist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KOJI OKAMOTO (MPT)
68 Willow Rd
Menlo Park, CA 940253653
Phone: (866) 839-6979
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2222
Fax: (630) 759-9510
Type: Mailing
Starbucks, 3441, Alma Street, Stanford Villa Apartment Homes, Palo Alto, Santa Clara County, California, 94306, United States
STE 200
PALO ALTO, CA 943063506
Phone: (650) 323-4440
Fax: (650) 323-4441
Type: Location
21960 MCCLELLAN RD
CUPERTINO, CA 950144058
Phone: (650) 271-5207
Type: Mailing
217 Merrick Rd Ste 204
Amityville, NY 117013449
Phone: (650) 271-5207
Type: Location
3441 Alma St
Ste 200
Palo Alto, CA 943063506
Phone: (650) 323-4440
Fax: (650) 323-4441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120416000073 | I | Physical Therapist In Private Practice | CA | TBD |
| I20220926002093 | I | Physical Therapist In Private Practice | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 193 | 14 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 179 | 13 | $0 |
Insurance plans in this area (ZIP 94025)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | CA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 191 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| - | VT | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA |
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