Active NPI
Hanz K Tabora, P.T., DPT, FAAOMPT
- Orthopedic Physical Therapist
- Fort Mohave, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- LPT-32815
- Practice address
- 1510 E Wagon Wheel LN Ste 102
Fort Mohave, AZ 86426-6698 - Phone
- (904) 994-5560
- NPI assigned
- Aug 14, 2014
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20336 | FL | |
| Physical Therapist | 225100000X | 20336 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | PT302035 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT20336 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | LPT-32815 | AZ | Primary |
Addresses
Primary practice location
1510 E Wagon Wheel LN Ste 102
Fort Mohave, AZ 86426-6698
Mailing address
1510 E Wagon Wheel LN Ste 102
Fort Mohave, AZ 86426-6698
Phone (928) 248-0444
Other practice location 1
1401 Bailey Ave
Needles, CA 92363-3103
Phone (760) 326-7100
Other practice location 2
1987 McCulloch Blvd N Ste 101
Lake Havasu City, AZ 86403-5770
Phone (904) 994-5560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, AZ
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20336 | FL | MD | Physical Therapist |
| LPT-32815 | AZ | MD | Orthopedic Physical Therapist |
| PT302035 | CA | MD | Orthopedic Physical Therapist |
| PT20336 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado River Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Access Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Community Healthcare Partner, Inc | Current | Accepting new patients | |
| Community Healthcare Partner, Inc | Current | Accepting new patients | |
| Academic Health Inc | Past | Accepting new patients |
Locations
1510 E Wagon Wheel Ln
Ste 110
Fort Mohave, AZ 86426
Phone (904) 994-5560
1510 E Wagon Wheel Ln
Fort Mohave, AZ 86426
Phone (928) 788-4210
1510 E Wagon Wheel Ln
Ste 102
Fort Mohave, AZ 86426
Phone (904) 994-5560
1987 McCulloch Blvd N
Ste 101
Lk Havasu Cty, AZ 86403
Phone (904) 994-5560
1401 Bailey Ave
Ste 12
Needles, CA 92363
1401 Bailey Ave
Needles, CA 92363
Phone (760) 326-4531
7530 103rd St
Ste 13
Jacksonville, FL 32210
Phone (904) 318-4957
8563 Argyle Business Loop
Ste 2
Jacksonville, FL 32244
Phone (904) 375-0830
7451 103rd St
Ste 12
Jacksonville, FL 32210
Phone (904) 771-3679
1700 Wells Rd
Ste 22
Orange Park, FL 32073
Phone (904) 209-4714
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tri State Physical Therapy
- Physical Therapist
- Fort Mohave, AZ
- NPI 1245965342
CA
-
- Physical Therapist
- Jacksonville, FL
- NPI 1942453105
-
dba Colorado River Medical Center
- Critical Access Hospital
- Needles, CA
- NPI 1457520942
-
dba Academic Urgent Care
- Urgent Care Clinic/Center
- Fort Mohave, AZ
- NPI 1225881113
-
dba Academic Urgent Care
- Urgent Care Clinic/Center
- Fort Mohave, AZ
- NPI 1285452516
-
dba Colorado River Medical Center
- Diagnostic Radiology Physician
- Needles, CA
- NPI 1336526086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1861891897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 E WAGON WHEEL LN STE 102",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864266698",
"telephone_number": "928-248-0444",
"fax_number": "928-248-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E WAGON WHEEL LN STE 102",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864266698",
"telephone_number": "904-994-5560"
}
],
"practiceLocations": [
{
"address_1": "1401 Bailey Ave",
"address_purpose": "LOCATION",
"city": "Needles",
"state": "CA",
"postal_code": "923633103",
"country_code": "US",
"telephone_number": "760-326-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1987 McCulloch Blvd N Ste 101",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864035770",
"country_code": "US",
"telephone_number": "904-994-5560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABORA",
"first_name": "HANZ",
"middle_name": "K",
"credential": "P.T., DPT, FAAOMPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2026-02-12",
"certification_date": "2025-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20336",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "20336",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT302035",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT20336",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "LPT-32815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mohave, AZ
- Macy Joy Stevens
- Allen E Stout, DC, FNP
- Sunrise Wellness Solution PLLC
- Surgery Specialists at the River, PLLC
- Sandra Kay Alojado Tabangcora, DDS
- Tri-State Medical Alliance LLC
- Tri-State Medical Specialists LLC (Tristate Pain Institute)
- Tri-State Medical Specialists LLC (TriState Pain Institute)
- Tri-State Neuro-Spine Institute, P.L.C.
- Tucson Pain Institute PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.