MEDICARE: RUSSELL NAKAJIMA OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	26282	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1063298164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSSELL NAKAJIMA OTR/L

Provider Business Mailing Address
First Line	:	550 SAINT CHARLES DR STE 100
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-3969
Country	:	US
Telephone Number	:	805-449-1125
Fax Number	:	805-449-4113

Provider Business Practice Location Address
First Line	:	550 SAINT CHARLES DR STE 100
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-3969
Country	:	US
Telephone Number	:	805-449-1125
Fax Number	:	805-449-4113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	04/18/2024

Similar Medicare Providers

1487657813 — TELESIS PHYSICAL THERAPY, INC.
Practice Location Address:

550 SAINT CHARLES DR , STE 100
THOUSAND OAKS, CA
91360-3969

Practice Phone: 805-777-1023
Practice Fax: 805-777-3493

1326542861 — ASHLEY MILLER DPT
Practice Location Address:

550 SAINT CHARLES DR STE 100
THOUSAND OAKS, CA
91360-3969

Practice Phone: 805-777-1023
Practice Fax:

1508566340 — TIMOTHY STUHR DPT
Practice Location Address:

550 SAINT CHARLES DR STE 100
THOUSAND OAKS, CA
91360-3969

Practice Phone: 805-777-1023
Practice Fax:

1063382216 — SPENCER K ISA DPT
Practice Location Address:

550 SAINT CHARLES DR STE 100
THOUSAND OAKS, CA
91360-3969

Practice Phone: 805-777-1023
Practice Fax: 888-506-7977

1003786260 — JESSICA 'AUTUMN' L KRAMER DPT
Practice Location Address:

550 SAINT CHARLES DR STE 100
THOUSAND OAKS, CA
91360-3969

Practice Phone: 805-777-1023
Practice Fax: 888-506-7977

1750477386 — DR. JEANNE LOVETT M.D.
Practice Location Address:

2235 THOUSAND OAKS , SUITE 119
SAN ANTONIO, TX
78232-3969

Practice Phone: 210-490-7334
Practice Fax:

Directions to “ RUSSELL NAKAJIMA OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.