Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Hefferon

Individual provider Physical Therapist · NPI 1508248816

Tamara Hefferon is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2007, 19 years ago. Practices with Impact Physical Therapy 3 LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

19420 N 59th Ave
Glendale, AZ 85308-6817
Phone: (866) 901-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7917 (AZ)

Record details

NPI number1508248816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2015
Last updated in NPPESJune 23, 2015
Mailing address19420 N 59th Ave, Glendale, AZ 85308-6817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Impact Physical Therapy 3 Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glendale