MR. KEN TAKENAKA ATC, LAT, OTC - NPI 1326204348 - Specialist/Technologist in Portland, OR

Q: What is Ken Takenaka's NPI number?

The NPI number for Ken Takenaka is 1326204348. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Q: What is Ken Takenaka's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Ken Takenaka was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Ken Takenaka Atc, Lat, Otc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEN TAKENAKA ATC, LAT, OTC (NPI 1326204348) is an individual athletic trainer provider in Portland, Oregon, licensed in Oregon (AT10145051) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1326204348

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. KEN TAKENAKACredential: ATC, LAT, OTC

Location Address11782 SW BARNES RD STE 300Portland, OR 97225-5933

Mailing Address11782 Sw Barnes Rd Ste 300Portland, OR 97225-5933 · (035) 214-5200 · Fax (503) 901-6661

Phone(503) 214-5200

Fax(503) 906-6613

Sole ProprietorYes

Enumeration DateJuly 29, 2008

Last NPPES UpdateJune 23, 2023

NPPES CertifiedJune 23, 2023

✔ NPI 1326204348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in OR · AT10145051

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License 050802325 (OR)

11782 SW BARNES RD STE 300, Portland, OR 97225

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Other Identifiers 1

OtherATAT10145051OR · Atc License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP