KEIKO MARIANNE IMAZUMI-TANG PT, MSPT, DPT
NPI 1871877837
Physical Therapist in San Jose, CA
About Keiko Marianne Imazumi-tang Pt, Mspt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIKO MARIANNE IMAZUMI-TANG PT, MSPT, DPT (NPI 1871877837) is an individual physical therapist in San Jose, California, licensed in California (38245) and active in the NPI registry since October 2011.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keiko Marianne Imazumi-tang Pt, Mspt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keiko Imazumi-tang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95119
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 Keiko Imazumi-tang's NPI number?
The NPI number for Keiko Imazumi-tang is 1871877837. It was assigned to this individual provider in the NPPES registry on October 7, 2011. The provider is also known as Keiko Marianne Imazumi Pt, Mspt, Dpt.
Where is Keiko Imazumi-tang located?
Keiko Imazumi-tang practices at 270 International Cir Building 2 North, San Jose, CA 95119. The listed phone number is (408) 972-3528.
What is Keiko Imazumi-tang's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Keiko Imazumi-tang enrolled in Medicare?
Yes. Keiko Imazumi-tang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keiko Imazumi-tang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keiko Imazumi-tang reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keiko Imazumi-tang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keiko Imazumi-tang was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.