Provider Demographics
NPI:1255229993
Name:MOCHIZUKI, AYANE (DPT)
Entity type:Individual
Prefix:
First Name:AYANE
Middle Name:
Last Name:MOCHIZUKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2316
Mailing Address - Country:US
Mailing Address - Phone:650-766-5144
Mailing Address - Fax:
Practice Address - Street 1:501 OLD COUNTY RD STE D
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2567
Practice Address - Country:US
Practice Address - Phone:650-701-7686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA308171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist