Individual provider Active NPI

Hanz K Tabora, P.T., DPT, FAAOMPT

  • Orthopedic Physical Therapist
  • Fort Mohave, AZ
National Provider Identifier
1861891897
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
LPT-32815 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150604002595 FL Practitioner - Physical Therapist in Private Practice 1355667890 Reassigns benefits to 1 organization
I20220803000901 CA Practitioner - Physical Therapist in Private Practice 1355667890 Reassigns benefits to 2 organizations
I20230421002291 AZ Practitioner - Physical Therapist in Private Practice 1355667890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20336FLMDPhysical Therapist
LPT-32815AZMDOrthopedic Physical Therapist
PT302035CAMDOrthopedic Physical Therapist
PT20336FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado River Physical Therapy LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Access Physical Therapy, LLC Physical Therapist CurrentSince Apr 13, 2015 Accepting new patients
Community Healthcare Partner, Inc Current Accepting new patients
Community Healthcare Partner, Inc CurrentSince Mar 1, 2025 Accepting new patients
Academic Health Inc PastSince Oct 10, 2024 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.

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

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.

Verify at the official NPI Registry.