Active NPI
Shari a Myoraku, PT, PC
- Physical Therapy Clinic/Center
- Tucson, AZ
National Provider Identifier
1427127828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z60848 | Other | AZ | PTAN |
| 189804400 | Other | AZ | OWCP |
| Z60849 | Other | AZ | PTAN |
National Provider Directory
National Provider DirectoryLocations
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.