Individual provider Active NPI

Yunsim C. Suehisa, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1013207620
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3088 Issued in HI
Practice address
7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone
(808) 277-4073
Fax
(808) 396-5581
NPI assigned
Apr 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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 PT 3088 HI Primary

Addresses

Primary practice location

7114 Niumalu Loop
Honolulu, HI 96825-1635

Mailing address

7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone (808) 277-4073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128001296 HI Practitioner - Physical Therapist in Private Practice 7810276367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makai Mobile Rehab LLCGroup PAC ID 5193862175, 6 clinicians

Practice addresses (Care Compare)

7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone (808) 783-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Physical Therapy Physical Therapist CurrentSince Apr 4, 2017 Accepting new patients
Makai Mobile Rehab, LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Makai Mobile Rehab, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

1029 Kapahulu Ave
Ste 401
Honolulu, HI 96816
Phone (808) 218-7888

820 Mililani St
Ste 702A
Honolulu, HI 96813
Phone (808) 523-6393

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1013207620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251635",
            "telephone_number": "808-277-4073",
            "fax_number": "808-396-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251635",
            "telephone_number": "808-277-4073",
            "fax_number": "808-396-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEHISA",
        "first_name": "YUNSIM",
        "middle_name": "C.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 3088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 2017; 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.