NPIMap

Organization Active NPI

Kid-Ability Mobile Pediatric Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1598813792
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3338 Issued in AZ
Legal business name
KID-ABILITY MOBILE PEDIATRIC PHYSICAL THERAPY, LLC
Practice address
2726 E Acoma Dr
Phoenix, AZ 85032-4900
Phone
(602) 418-8264
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Tamiko Hirasawa, P.T.NPI 1801950316
Title
Owner,Manager
Phone
(602) 418-8264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3338 AZ Primary

Addresses

Primary practice location

2726 E Acoma Dr
Phoenix, AZ 85032-4900

Mailing address

PO Box 82338
Phoenix, AZ 85071-2338
Phone (602) 418-8264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1598813792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82338",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850712338",
            "telephone_number": "602-418-8264",
            "fax_number": "602-482-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 E ACOMA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324900",
            "telephone_number": "602-418-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID-ABILITY MOBILE PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "HIRASAWA",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_title_or_position": "OWNER,MANAGER",
        "authorized_official_telephone_number": "602-418-8264",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.