Individual provider Active NPI

Michael W Rufino, RPT

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1003978214
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1844 Issued in HI
Practice address
30 Aulike St
Kailua Professional Center, Suite 201
Kailua, HI 96734-2707
Phone
(808) 230-2359
Fax
(808) 230-2375
NPI assigned
Dec 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1844 HI Primary

Addresses

Primary practice location

30 Aulike St
Kailua Professional Center, Suite 201
Kailua, HI 96734-2707

Mailing address

150 Hamakua Dr
PMB 418
Kailua, HI 96734-2825
Phone (808) 230-2359

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000524 HI Practitioner - Physical Therapist in Private Practice 5294785762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Aulike St
Suite 416
Kailua, HI 96734-2757
Phone (808) 230-2359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1844HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Rufino, RPT LLC Physical Therapist CurrentSince Mar 18, 2008 Accepting new patients

Locations

40 Aulike St
Ste 416
Kailua, HI 96734
Phone (808) 230-2359

150 Hamakua Dr
Kailua, HI 96734
Phone (808) 255-3037

30 Aulike St
Ste 201
Kailua, HI 96734
Phone (808) 261-4658

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, 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003978214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAMAKUA DR",
            "address_2": "PMB 418",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342825",
            "telephone_number": "808-230-2359",
            "fax_number": "808-230-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "KAILUA PROFESSIONAL CENTER, SUITE 201",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-230-2359",
            "fax_number": "808-230-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFINO",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.