Active NPI
Taryn Jennings, DPT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1003247313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-3858
- Practice address
- 2828 Paa St
Honolulu, HI 96819-4430 - Phone
- (833) 833-3333
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40756 | CA | |
| Physical Therapist | 225100000X | PT-3858 | HI | Primary |
Addresses
Primary practice location
2828 Paa St
Honolulu, HI 96819-4430
Mailing address
PO Box 380042
Honolulu, HI 96820-9976
Other practice location 1
1465 65th St
Apt 435
Emeryville, CA 94608-1062
Phone (808) 225-3616
Other names 1
- Taryn Chun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40756 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1003247313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 380042",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968209976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194430",
"telephone_number": "833-833-3333"
}
],
"practiceLocations": [
{
"address_1": "1465 65th St",
"address_2": "APT 435",
"address_purpose": "LOCATION",
"city": "Emeryville",
"state": "CA",
"postal_code": "946081062",
"country_code": "US",
"telephone_number": "808-225-3616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNINGS",
"first_name": "TARYN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40756",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-3858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARYN",
"last_name": "CHUN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.