MEDICARE: TAYLOR HAYAMOTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	52475T	AZ

General Provider Information

NPI Number	:	1982374914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR HAYAMOTO

Provider Business Mailing Address
First Line	:	94-1011 UPAI PL
Second Line	:
City	:	WAIPAHU
State	:	HI
Zip	:	96797-4037
Country	:	US
Telephone Number	:	808-675-8751
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 W UNION HILLS DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-1096
Country	:	US
Telephone Number	:	623-374-2424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2021
Last Update Date	:	01/28/2026

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