Individual provider Active NPI

Tezra Damaso, DPT

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1154874840
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60664733 Issued in WA
Practice address
210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705
Phone
(360) 682-2770
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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 PT60664733 WA Primary

Addresses

Primary practice location

210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705

Mailing address

210 SE Pioneer Way Ste 2
Oak Harbor, WA 98277-5705
Phone (360) 682-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230727000117 HI Practitioner - Physical Therapist in Private Practice 7315233541 Reassigns benefits to 4 organizations
I20250912002551 TX Practitioner - Physical Therapist in Private Practice 7315233541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy of El Paso, P.C.Group PAC ID 9638150725, 9 clinicians

Practice addresses (Care Compare)

6358 Edgemere
El Paso, TX 79925-3517

6358 Edgemere Blvd
El Paso, TX 79925-3517
Phone (915) 562-8525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60664733WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaco Rehab Mililani Limited Partnership Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Jaco Rehab Honolulu Limited Partnership Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Jaco Rehab Kapolei Limited Partnership Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Jaco Rehab Waikele Limited Partnership Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Physiotherapy of El Paso, P.C. Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1401 S Beretania St
Ste 550
Honolulu, HI 96814
Phone (808) 591-2244

599 Farrington Hwy
Ste 206
Kapolei, HI 96707
Phone (301) 421-1125

95-1105 Ainamakua Dr
Ste 203
Mililani, HI 96789
Phone (209) 770-6581

94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947

6358 Edgemere Blvd
El Paso, TX 79925
Phone (915) 562-8525

Organizations & group practices 5

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1154874840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SE PIONEER WAY STE 2",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775705",
            "telephone_number": "360-682-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SE PIONEER WAY STE 2",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775705",
            "telephone_number": "360-682-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMASO",
        "first_name": "TEZRA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60664733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.