Christian Toshio Hisamune, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12085 Issued in CA

Practice address

10474 Santa Monica Blvd
Suite 435
Los Angeles, CA 90025-6929

Phone

(310) 275-4137

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physicians Physical Therapy Service Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1043302508
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1811060445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD",
            "address_2": "STE 435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256932",
            "telephone_number": "310-869-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD",
            "address_2": "SUITE 435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256929",
            "telephone_number": "310-275-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISAMUNE",
        "first_name": "CHRISTIAN",
        "middle_name": "TOSHIO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMING PROVIDER IDENT",
            "identifier": "WPT12088A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Susan Hirsty Fiore, LCSW
• Christian Kurt Hirt, MD.PHD.
• Daniel Hirt, MD
• His Sheltering Arms, Inc.
• Nicole M. Hisaka, M.A.
• Kaila Akemi Hisayasu, CTRS, MOT, OTR/L
• Emma Jane Hiscocks, MD
• Dierdre Sue Hitchcock Chappelle, MFT
• Kendall Demeire Hitchcock
• Latonya Denise Hitchcock, PA-C

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.