Individual provider Active NPI

Tamiko Hirasawa, PT

  • Pediatric Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1801950316
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3338 Issued in AZ
Practice address
2726 E Acoma Dr
Phoenix, AZ 85032-4900
Phone
(602) 418-8264
Fax
(602) 482-9498
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3338 AZ Primary

Addresses

Primary practice location

2726 E Acoma Dr
Phoenix, AZ 85032-4900

Mailing address

2726 E Acoma Dr
Phoenix, AZ 85032-4900
Phone (602) 418-8264

Other identifiers 1

IdentifierTypeStateIssuer
310615MedicaidAZ

Other names 1

  • Tami Hirasawa Other name

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
3338AZMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid-Ability Mobile Pediatric Physical Therapy, LLC Physical Therapist Past Accepting new patients
Fiesta Pediatric Therapy Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1801950316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 E ACOMA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324900",
            "telephone_number": "602-418-8264"
        },
        {
            "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",
            "fax_number": "602-482-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRASAWA",
        "first_name": "TAMIKO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "3338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310615",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMI",
            "last_name": "HIRASAWA",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 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.