Kendra Danae Hisaw, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3320 Issued in OK

Practice address

2020 Arlington St Ste 3
Ada, OK 74820-2822

Phone

(580) 332-5124

Fax

(580) 332-5220

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1174118335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ARLINGTON ST STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202822",
            "telephone_number": "580-332-5124",
            "fax_number": "580-332-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ARLINGTON ST STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202822",
            "telephone_number": "580-332-5124",
            "fax_number": "580-332-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISAW",
        "first_name": "KENDRA",
        "middle_name": "DANAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Hilliard, MS
• Hilltop Healthcare, LLC (Valley View Home Health)
• Marilyn Lynne Hines, D.O.
• Brian Andrew Hinkle, PHARM. D.
• Joshua Hinkle, APRN - CNP
• Tammy Hobbie, PA-C
• Nancy Hobbs, CNM
• Chandra Lynn Hodge, NURSE
• Doris Hoffman, MD
• Amber Holbein, MD

• Physical Therapy Assistant in Ada, OK
• Providers in Ada, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.