MR. KELSEY MAKOTO NAKATA (DPT) – Orthopedic Physical Therapist, NPI 1821344375

MR. KELSEY MAKOTO NAKATA (DPT) is a healthcare provider. based in Los angeles, California. specializing in Orthopedic Physical Therapist. They hold the professional credentials DPT. They hold a License No. 39160 (CA). The NPI Number for MR. KELSEY MAKOTO NAKATA (DPT) is 1821344375

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. KELSEY MAKOTO NAKATA (DPT)
NPI
1821344375
Phone
(310) 474-5150
Address
10780 SANTA MONICA BLVD STE 110
Enumeration Date
1 August 2012
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
Secondary Phone
8313752466
Graduation Year
2012 (14 years ago)
PAC ID
4981854569
Group Practice PAC ID
8527015320
Professional Enrollment ID
I20121016000491
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MR. KELSEY MAKOTO NAKATA (DPT)

  • 10780 SANTA MONICA BLVD STE 110

    LOS ANGELES, CA 900257613

    Phone: (310) 474-5150

    Fax: (310) 474-4924

    Type: Location

  • 980 CASS ST

    STE A

    MONTEREY, CA 939404549

    Phone: (310) 474-5150

    Fax: (310) 474-4924

    Type: Mailing

  • 10780 Santa Monica Blvd Ste 110

    Los Angeles, CA 900257613

    Phone: (310) 474-5150

    Fax: (310) 474-4924

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527015320View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MR. KELSEY MAKOTO NAKATA (DPT)?
NPI 1821344375 is assigned to MR. KELSEY MAKOTO NAKATA (DPT) under the national enumeration system.
Is MR. KELSEY MAKOTO NAKATA (DPT)'s NPI currently valid?
The extract we use shows MR. KELSEY MAKOTO NAKATA (DPT) as active.
Can you summarize MR. KELSEY MAKOTO NAKATA (DPT)'s specialty in plain language?
Clinically, the directory lists MR. KELSEY MAKOTO NAKATA (DPT) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MR. KELSEY MAKOTO NAKATA (DPT) practice in California?
You will see Los Angeles, California on file for MR. KELSEY MAKOTO NAKATA (DPT) alongside any extra practice locations.
How can I contact MR. KELSEY MAKOTO NAKATA (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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