Organization Active NPI

Shari a Myoraku, PT, PC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1427127828
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2289 Issued in AZ
Legal business name
SHARI A MYORAKU, PT, PC
Practice address
333 N Wilmot Rd Ste 340
Suite 107
Tucson, AZ 85711-2607
Phone
(520) 731-0566
Fax
(520) 731-0564
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Shari Anne Myoraku
Title
Owner
Phone
(520) 731-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2289 AZ Primary

Addresses

Primary practice location

333 N Wilmot Rd Ste 340
Suite 107
Tucson, AZ 85711-2607

Mailing address

333 N Wilmot Rd Ste 340
Tucson, AZ 85711-2607
Phone (520) 731-0566

Other identifiers 3

IdentifierTypeStateIssuer
Z60848OtherAZPTAN
189804400OtherAZOWCP
Z60849OtherAZPTAN

National Provider Directory

National Provider Directory

Locations

6979 E Broadway Blvd
Ste 107
Tucson, AZ 85710
Phone (520) 731-0566

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1427127828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD STE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112607",
            "telephone_number": "520-731-0566",
            "fax_number": "520-731-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD STE 340",
            "address_2": "SUITE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112607",
            "telephone_number": "520-731-0566",
            "fax_number": "520-731-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI A MYORAKU, PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "MYORAKU",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-731-0566"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z60848",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "189804400",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z60849",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.