Jake Barancho

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6039 Issued in HI

Practice address

599 Farrington Hwy Ste 2
Kapolei, HI 96707-2028

Phone

(808) 680-9123

NPI assigned

Nov 13, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Hawaii IncGroup PAC ID 6406747351, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PT Hawaii, Inc.

  • Orthopedic Physical Therapist
  • Waipahu, HI
  • NPI 1598718181
  Medicare reassignment Care Compare group NPD
• P.T. Hawaii, Inc

  • Physical Therapist
  • Waipahu, HI
  • NPI 1699720615
  NPD (past)

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1003630476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 LAKIMAU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 2",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-680-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANCHO",
        "first_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alahna Ballesteros-Makua, MAT
• Alisha Baluyot-Kennedy
• Vanessa Banas
• Linh T Banh, DPT
• Michael Barad, LMT
• Barbara a. D'Anna
• Hellen Sirlea Barbosa-Hernandez
• Jazlyn Barlahan
• Jessica Barnett
• Andrea Barrack, MD

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.