Jeremy Kiyabu, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2230 Liliha St
Honolulu, HI 96817-1646

Phone

(808) 547-6000

NPI assigned

Aug 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeremy Kiyabu Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1013498047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-342 HUI IWA ST APT F",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYABU",
        "first_name": "JEREMY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "KIYABU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara S. Kitashima, M.D.
• Jonathan M. Kitayama, M.D.
• Kay Kitazumi, P.T.
• Pauline Wangeci Kithaka, COTA/L
• William Richard Kittredge III
• Laura Kiyabu
• Arlene Parubrub Kiyohara, MD
• Miki Kiyokawa, MD
• Misty Anne Saeko Kiyuna, MSW; LCSW
• Sheree Klask

• Occupational Therapy Assistant in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Occupational Therapy Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.