BRENT YAMASHITA – Physical Therapist, NPI 1073966362

BRENT YAMASHITA is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3376 (NV). The NPI Number for BRENT YAMASHITA is 1073966362

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
BRENT YAMASHITA
NPI
1073966362
Phone
(801) 367-8579
Address
28 RED OAK CANYON ST
Enumeration Date
21 July 2016
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023208111
Graduation Year
2016 (10 years ago)
PAC ID
5799064770
Group Practice PAC ID
4981678695
Professional Enrollment ID
I20170405001546
Address ID
NV891284338LA7455XAVEX409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

880 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NV

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Provider Addresses for BRENT YAMASHITA

  • 28, Red Oak Canyon Street, Henderson, Clark County, Nevada, 89012, United States

    UNIT 3

    HENDERSON, NV 890125958

    Phone: (801) 367-8579

    Type: Mailing

  • 1095 SHEER PARADISE LN UNIT 103

    HENDERSON, NV 890021058

    Phone: (801) 367-8579

    Type: Mailing

  • 7140, Smoke Ranch Road, Las Vegas, Clark County, Nevada, 89128, United States

    STE 150

    LAS VEGAS, NV 891283157

    Phone: (702) 320-8111

    Fax: (702) 320-8112

    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: 2017-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170405001546IPhysical Therapist In Private PracticeNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77755$0
97140Therapy procedure using manual technique, each 15 minutes55953$0
97162Evaluation for physical therapy, typically 30 minutes2624$0
View full utilization report →

Insurance plans in this area (ZIP 89012)

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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: 4981678695View full group profile
NameSpecialtyState
Orthopedic SurgeryNV
Physician AssistantNV
Certified Registered Nurse Anesthetist (Crna)NV
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
Orthopedic SurgeryIL
Physical Medicine And RehabilitationNV
Physician AssistantNV
Rheumatology, Internal MedicineNV
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

Can I cross-check BRENT YAMASHITA using NPI 1073966362?
NPI 1073966362 belongs to BRENT YAMASHITA; compare other details if you need extra assurance.
Is BRENT YAMASHITA still an active registrant?
BRENT YAMASHITA carries an active NPI according to the public dataset.
What clinical focus is listed for BRENT YAMASHITA?
At a glance, BRENT YAMASHITA is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is BRENT YAMASHITA located near Henderson?
BRENT YAMASHITA currently maps to Henderson, Nevada in this extract.
When was this NPI issued?
Enumeration for BRENT YAMASHITA is noted as July 21, 2016 where the registry provides it.

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