Provider Demographics
NPI:1316032196
Name:HAYASHIDA & ASSOCIATES PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:HAYASHIDA & ASSOCIATES PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAYASHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:805-898-1907
Mailing Address - Street 1:PO BOX 30459
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93130-0459
Mailing Address - Country:US
Mailing Address - Phone:805-898-1907
Mailing Address - Fax:805-687-8121
Practice Address - Street 1:319 ANACAPA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2351
Practice Address - Country:US
Practice Address - Phone:805-898-1907
Practice Address - Fax:805-687-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18055AMedicare ID - Type UnspecifiedPHYSICAL THERAPY