ELYSE HARUKO MINAMIDE PT, DPT, NCS
NPI 1629587233
Physical Therapist - Neurology in Tustin, CA

Active since September 26, 2017
14851 YORBA ST, TUSTIN, CA 92780(714) 832-9200 Get Directions Write a Review

NPPES record last updated: September 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyse Haruko Minamide Pt, Dpt, Ncs NPPES

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

ELYSE HARUKO MINAMIDE PT, DPT, NCS (NPI 1629587233) is an individual neurology provider in Tustin, California, licensed in California (37628) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1629587233
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameELYSE HARUKO MINAMIDECredential: PT, DPT, NCS
Location Address14851 YORBA STTustin, CA 92780-2925
Mailing Address38 MilagroRancho Santa Margarita, CA 92688-2882
Sole ProprietorNo
Enumeration DateSeptember 26, 2017
NPI 1629587233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License Licensed in CA · 37628
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
14851 YORBA ST, Tustin, CA 92780

Other Names 1

Former Name (1)Elyse Haruko Minamide

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
14851 YORBA ST
TUSTIN, CA 92780
Skilled Nursing Facility
14851 YORBA ST
TUSTIN, CA 92780
Social Worker (Clinical)
14851 YORBA ST
TUSTIN, CA 92780

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 Elyse Minamide's NPI number?

The NPI number for Elyse Minamide is 1629587233. It was assigned to this individual provider in the NPPES registry on September 26, 2017. The provider is also known as Elyse Haruko Minamide.

Where is Elyse Minamide located?

Elyse Minamide practices at 14851 Yorba St, Tustin, CA 92780. The listed phone number is (714) 832-9200.

What is Elyse Minamide's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

When was this NPI record last updated?

The NPPES record for Elyse Minamide was last updated on September 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.