Active NPI
Tiffany Emiko Hata
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1841053477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300708
- Practice address
- 501 Jessie Ave
Sacramento, CA 95838-2608 - Phone
- (916) 922-8855
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300708 | CA | Primary |
Addresses
Primary practice location
501 Jessie Ave
Sacramento, CA 95838-2608
Mailing address
2127 N Polk Ave
Fresno, CA 93722-9760
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
| License | State | Type | Specialty |
|---|---|---|---|
| 300708 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1841053477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 N POLK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937229760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 JESSIE AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958382608",
"telephone_number": "916-922-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATA",
"first_name": "TIFFANY",
"middle_name": "EMIKO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.