Individual provider · Type 1 NPI

Kendall Masako Hisamoto

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1073449245 Active

Practice location

15215 S 48th St Ste 145
Phoenix, AZ 85044-9138

Call (602) 358-8148 Map

Mailing address

15215 S 48th St Unit 145
Phoenix, AZ 85044-9142

Specialties and licenses

Taxonomy	Code	License
Occupational Therapy Assistant Primary	224Z00000X	OTA050127 (AZ)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1073449245

Kendall Masako Hisamoto's National Provider Identifier is 1073449245, issued on Jun 23, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 23, 2026.