OrganizationDiane Shiraishi & Chris Ota Physical Therapy(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2337 Forest Ave, San Jose, CA 95128-4606(408) 246-5861PECOS EnrollmentBased on the most recent information from CMS, provider Diane Shiraishi & Chris Ota Physical Therapy 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 4 days ago.Profile DetailsProvider ID1902943616Provider TypeOrganizationFull NameDiane Shiraishi & Chris Ota Physical TherapyOther Name<Unavail>SubpartNoEnumeration Date1/31/2007Last Updated10/12/2012Contact InformationPractice LocationPractice Address2337 Forest Ave, San Jose, CA 95128-4606Phone(408) 246-5861Fax(408) 246-2066Mailing LocationMailing Address2337 Forest Ave, San Jose, CA 95128-4606Phone(408) 246-5861Fax(408) 246-2066Authorized OfficialNameShiraishi, Diane (Physical Therapist)Phone(408) 246-5861Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT5363CaliforniaProvider IdentifiersIDDescriptionIssuerIDFT468ADescriptionOtherIssuerPTANCalifornia