Individual provider Active NPI

Hiroyoshi Tanda, DPT

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1649789926
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60829589 Issued in WA
Practice address
32030 23Rd Ave S
Federal Way, WA 98003-6031
Phone
(253) 946-4852
Fax
(253) 946-4862
NPI assigned
Sep 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 PT60829589 WA Primary

Addresses

Primary practice location

32030 23Rd Ave S
Federal Way, WA 98003-6031

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

75 W Wesmark Blvd
Sumter, SC 29150-1955
Phone (803) 938-5395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515003393 WA Practitioner - Physical Therapist in Private Practice 6002272184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1519 132ND St SE a
Murphys Corner Physical Therapy
Everett, WA 98208-7203
Phone (425) 337-9556

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Oct 6, 2023 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Oct 6, 2023 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist PastSince Jul 1, 2017 Accepting new patients
Carolina Physical Therapy and Sports Medicine, Inc. PastSince Jun 15, 2016 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

1519 132nd St SE
Ste A
Everett, WA 98208
Phone (425) 337-9556

1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 9

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": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1649789926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32030 23RD AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036031",
            "telephone_number": "253-946-4852",
            "fax_number": "253-946-4862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 W Wesmark Blvd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291501955",
            "country_code": "US",
            "telephone_number": "803-938-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDA",
        "first_name": "HIROYOSHI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60829589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.