Individual provider Active NPI

Jenna Valentine, DPT

  • Physical Therapist
  • Kula, HI
National Provider Identifier
1003413550
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5819 Issued in HI
Practice address
28 Mano Dr
Kula, HI 96790-8526
Phone
(808) 446-0382
Fax
(833) 520-1530
NPI assigned
Oct 7, 2020
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5819 HI Primary
Physical Therapist 225100000X 63839 OR

Addresses

Primary practice location

28 Mano Dr
Kula, HI 96790-8526

Mailing address

PO Box 791545
Paia, HI 96779-1545
Phone (503) 432-7111

Other names 1

  • Jenna Le Roy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529002876 HI Practitioner - Physical Therapist in Private Practice 6507286044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28 Mano Dr
Kula, HI 96790-8526

PO Box
Suite 791545
Paia, HI 96779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5819HIMDPhysical Therapist
63839ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hana Lima Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2026 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Carol R Conrades PastSince Dec 5, 2021 Accepting new patients
Orthopedic & TMJ Physical Therapy Center PastSince Dec 5, 2021 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1003413550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791545",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967791545",
            "telephone_number": "503-432-7111",
            "fax_number": "833-520-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MANO DR",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908526",
            "telephone_number": "808-446-0382",
            "fax_number": "833-520-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "JENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5819",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "LE ROY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kula, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.