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Active NPI 1730482159 Individual Practitioner Male Practitioner

Kiyoshi Yamamoto , LAC, LMT

Acupuncturist • Herndon, VA

Professional Overview & Biography Verified Profile Summary

Kiyoshi Yamamoto, LAC, LMT is a registered healthcare professional specializing in Acupuncturist in Herndon, VA. Practice services are available at 1033 STERLING RD STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1033 Sterling Rd Ste 105

Herndon, VA 201703837

Telephone 7038553514
Associated Practice Facility / Clinic
🏢 Sports Edge Acupuncture, Llc Facility NPI 1932499407

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Herndon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Herndon, VA (488 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-31
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License VA 0121000947

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License VA 19003726

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1205998358

Licensed Acupuncturist, DIPLOM

Nevin Turk , LAC

Acupuncturist

NPI 1992581268

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated August 31, 2021

Recorded as KIYOSHI YAMAMOTO, LAC., LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Acupuncturist (License #0121000947 in VA)

📍
Updated Practice Location June 30, 2020

Registered at 1033 STERLING RD STE 105, HERNDON, VA 201703837 (Tel: 7038553514)

NPI Profile Active December 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2010

Registered at 600 CARLISLE DR STE D, HERNDON, VA 201704870 (Tel: 7038553514)

📍
Updated Business Mailing Address December 07, 2010

Registered at 5104 CASTLE HARBOR WAY, CENTREVILLE, VA 201204140 (Tel: 7038553514)

👤
Provider Name / Credentials Updated December 07, 2010

Recorded as KIYOSHI YAMAMOTO, CMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2010

Massage Therapist (License #19003726 in VA)

🟢
Initial NPI Registration & Enumeration December 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730482159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2010
Last Update: August 31, 2021
Sole Proprietor: Yes

Mailing Address

5104 Castle Harbor Way

Centreville, VA 201204140

Phone: 7038553514

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.