Provider Demographics
NPI:1609300656
Name:KATO, TOMOKAZU (PT)
Entity Type:Individual
Prefix:MR
First Name:TOMOKAZU
Middle Name:
Last Name:KATO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 BROADWAY STE 212
Mailing Address - Street 2:212
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-6544
Mailing Address - Country:US
Mailing Address - Phone:201-766-1728
Mailing Address - Fax:
Practice Address - Street 1:4800 BROADWAY STE 212
Practice Address - Street 2:212
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-6544
Practice Address - Country:US
Practice Address - Phone:201-766-1728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01718400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist