John Allen Hisamoto in Land O Lakes - Physical Therapist

John Allen Hisamoto - NPI 1962490938

John Allen Hisamoto is a Physical Therapist in Land O Lakes, Florida. John Allen Hisamoto practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for John Allen Hisamoto is 1962490938. The last update date is 2007-07-08.

John Allen Hisamoto's current location address is 22819 Southshore Dr, Land O Lakes, Florida. You can contact this provider via phone number 8139794819 and fax number 8139758708. The mailing address for John Allen Hisamoto is 22819 Southshore Dr, Land O Lakes, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John Allen Hisamoto
Address 22819 Southshore Dr, Land O Lakes, Florida
Phone Number 8139794819
Fax Number 8139758708
Sole Proprietor X
Credentials P.T.

NPI Number Detail

NPI Number 1962490938
Provider Enumeration Date 2005-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22819 Southshore Dr
City Land O Lakes
State Florida (FL)
Post Code 346394755
Phone Number 8139794819
Fax Number 8139758708

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT5271
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K2780 MEDICARE GROUP NUMBER
Y4306 BLUE CROSS BLUE SHIELD

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FAQs about John Allen Hisamoto

What is the unique 10-digit identifier code issued to John Allen Hisamoto by the Centers for Medicare & Medicaid Services?

The John Allen Hisamoto has been assigned the NPI (National Provider Identifier) 1962490938 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of John Allen Hisamoto?

The John Allen Hisamoto is situated at 22819 Southshore Dr, in the city of Land O Lakes, state of FL, with the zip code 346394755.

What is the area of specialization for John Allen Hisamoto, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Allen Hisamoto is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date did the John Allen Hisamoto receive the assignment of its 1962490938 from the Centers for Medicare & Medicaid Services?

The John Allen Hisamoto was issued its 1962490938 by the Centers for Medicare & Medicaid Services on 2005-10-12.

As of what date were the details pertaining to John Allen Hisamoto last refreshed?

The information related to the John Allen Hisamoto, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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