Individual ProviderShota KobayashiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4 E South St, Geneseo, NY 14454-1362(585) 243-9150PECOS EnrollmentBased on the most recent information from CMS, provider Shota Kobayashi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1275307084Provider TypeIndividualFull NameKobayashi, ShotaCredentialDPTGenderMaleSole ProprietorNoEnumeration Date11/13/2023Last Updated11/13/2023Contact InformationPractice LocationPractice Address4 E South St, Geneseo, NY 14454-1362Phone(585) 243-9150Fax(585) 243-4814Mailing LocationMailing Address4 E South St, Geneseo, NY 14454-1362Phone(585) 243-9150Fax(585) 243-4814Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense051599New York