DIANE SHIRAISHI & CHRIS OTA PTRS
NPI: 1720168677
· CAMPBELL, CA 95008
· Sports Physical Therapist
· NPI assigned 10/16/2006
$49.68
Total Medicaid Paid
Provider Details
| Authorized Official | OTA, CHRIS (OWNER) |
| NPI Enumeration Date | 10/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
101 |
$49.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
35 |
13 |
$49.68 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
36 |
14 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
30 |
13 |
$0.00 |