Individual provider Active NPI

Tatsunari Hirota, PT DPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1295562957
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306201 Issued in CA
Practice address
311 Broadway
Chula Vista, CA 91910-3501
Phone
(619) 422-0404
Fax
(619) 422-4153
NPI assigned
Sep 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 306201 CA Primary

Addresses

Primary practice location

311 Broadway
Chula Vista, CA 91910-3501

Mailing address

311 Broadway
Chula Vista, CA 91910-3501
Phone (619) 422-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003277 CA Practitioner - Physical Therapist in Private Practice 1355875246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2417 Fenton St
Suite a
Chula Vista, CA 91914-3517
Phone (619) 422-0404

311 Broadway
Chula Vista, CA 91910-3501
Phone (619) 422-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306201CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elnel, Inc. a California Corporation Total Physical Therapy Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
JC Chiropractic, P.C. Past Accepting new patients

Locations

311 Broadway
Chula Vista, CA 91910
Phone (619) 422-0404

2417 Fenton St
Ste A
Chula Vista, CA 91914
Phone (619) 422-0404

181 Jamacha Rd
El Cajon, CA 92019
Phone (619) 447-7774

Organizations & group practices 2

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1295562957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103501",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103501",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIROTA",
        "first_name": "TATSUNARI",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.