Individual provider Active NPI

Kira Hoffman, PTA

  • Physical Therapy Assistant
  • Cupertino, CA
National Provider Identifier
1356169759
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
53510 Issued in CA
Practice address
10125 S de Anza Blvd
Cupertino, CA 95014-2105
Phone
(408) 865-1365
NPI assigned
Oct 3, 2024
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 53510 CA Primary

Addresses

Primary practice location

10125 S de Anza Blvd
Cupertino, CA 95014-2105

Mailing address

195 Morrene Dr
Campbell, CA 95008-1764
Phone (408) 316-5212

Other practice location 1

16615 Lark Ave Ste 101
Los Gatos, CA 95032-7645
Phone (408) 358-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53510CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Los Gatos Orthopedic Sports Therapy, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Los Gatos Hand Therapy, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

16615 Lark Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 358-1460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1356169759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MORRENE DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081764",
            "telephone_number": "408-316-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 S DE ANZA BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142105",
            "telephone_number": "408-865-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16615 Lark Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950327645",
            "country_code": "US",
            "telephone_number": "408-358-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KIRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.