Individual provider Active NPI

Hanna Kamikawa, DPT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1093553133
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27684 Issued in MA
Practice address
440 Blue Hill Ave
Boston, MA 02121-4308
Phone
(617) 516-8005
Fax
(617) 516-8599
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27684 MA Primary

Addresses

Primary practice location

440 Blue Hill Ave
Boston, MA 02121-4308

Mailing address

440 Blue Hill Ave
Boston, MA 02121-4308
Phone (617) 516-8005

Other practice location 1

1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone (617) 874-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730004427 MA Practitioner - Physical Therapist in Private Practice 9830636539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27684MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients

Locations

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

440 Blue Hill Ave
Dorchester, MA 02121
Phone (617) 516-8005

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1093553133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BLUE HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021214308",
            "telephone_number": "617-516-8005",
            "fax_number": "617-516-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BLUE HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021214308",
            "telephone_number": "617-516-8005",
            "fax_number": "617-516-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Hyde Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "MA",
            "postal_code": "021362819",
            "country_code": "US",
            "telephone_number": "617-874-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMIKAWA",
        "first_name": "HANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.