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KATHLEEN IKUTA PT
NPI 1396147278
Physical Therapist - Pediatrics in San Mateo, CA

Active since September 22, 2014
1650 S AMPHLETT BLVD STE 108, SAN MATEO, CA 94402(650) 638-9142(650) 638-9141 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Ikuta Pt NPPES

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

KATHLEEN IKUTA PT (NPI 1396147278) is an individual pediatrics provider in San Mateo, California, licensed in California (41709) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1396147278
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKATHLEEN IKUTACredential: PT
Location Address1650 S AMPHLETT BLVD STE 108San Mateo, CA 94402-2514
Mailing Address1650 S Amphlett Blvd Ste 108San Mateo, CA 94402-2514 · (650) 638-9142 · Fax (650) 638-9141
Phone(650) 638-9142
Fax(650) 638-9141
Sole ProprietorNo
Enumeration DateSeptember 22, 2014
✔ NPI 1396147278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · 41709
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1650 S AMPHLETT BLVD STE 108, San Mateo, CA 94402
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA COHAN PT
Physical Therapist (Pediatrics)
1650 S AMPHLETT BLVD STE 108
SAN MATEO, CA 94402
San Mateo County (650) 638-9142
JESSE MCCORMACK
Occupational Therapist (Pediatrics)
1650 S AMPHLETT BLVD STE 108
SAN MATEO, CA 94402
San Mateo County (650) 638-9142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Ikuta's NPI number?

The NPI number for Kathleen Ikuta is 1396147278. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Kathleen Ikuta located?

Kathleen Ikuta practices at 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402. The listed phone number is (650) 638-9142.

What is Kathleen Ikuta's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Ikuta was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.