Active NPI
John Allen Hisamoto, P.T.
- Physical Therapist
- Tampa, FL
National Provider Identifier
1962490938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5271
- Practice address
- 13801 Bruce B Downs Blvd
Suite 303
Tampa, FL 33613-3946 - Phone
- (813) 979-4819
- Fax
- (813) 975-8708
- NPI assigned
- Oct 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5271 | FL | Primary |
Addresses
Primary practice location
13801 Bruce B Downs Blvd
Suite 303
Tampa, FL 33613-3946
Mailing address
22819 Southshore Dr
Land O Lakes, FL 34639-4755
Phone (813) 979-4819
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K2780 | Other | MEDICARE GROUP NUMBER | |
| Y4306 | Other | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5271 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation, Inc. | Current | Accepting new patients | |
| Proactive Physical Therapy of Wesley Chapel Inc | Physical Therapist | Past | Accepting new patients |
Locations
13801 Bruce B Downs Blvd
Ste 303
Tampa, FL 33613
Phone (813) 979-4819
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.
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1881610046
-
- Physical Therapy Clinic/Center
- Wesley Chapel, FL
- NPI 1679760250
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962490938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22819 SOUTHSHORE DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394755",
"telephone_number": "813-979-4819",
"fax_number": "813-975-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "SUITE 303",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-979-4819",
"fax_number": "813-975-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISAMOTO",
"first_name": "JOHN",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT5271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "K2780",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y4306",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.