Individual provider Active NPI

Kris Dianne Guerrero-Dar, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1023536976
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4341 Issued in HI
Practice address
94-216 Farrington Hwy Ste a-102
Waipahu, HI 96797
Phone
(808) 600-9148
Fax
(800) 942-7053
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 PT4341 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy Ste a-102
Waipahu, HI 96797

Mailing address

PO Box 970068
Waipahu, HI 96797-0068
Phone (808) 600-9148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320000972 HI Practitioner - Physical Therapist in Private Practice 7911247416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Institute of Physical Therapy IncGroup PAC ID 2668771999, 9 clinicians

Practice addresses (Care Compare)

94-216 Farrington Hwy
A 102
Waipahu, HI 96797-1922
Phone (808) 600-9148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4341HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enphysio LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients
Advanced Institute of Physical Therapy Inc Physical Therapist CurrentSince Mar 15, 2019 Accepting new patients

Locations

94-216 Farrington Hwy
#A102
Waipahu, HI 96797
Phone (808) 206-5301

94-216 Farrington Hwy
Ste A102
Waipahu, HI 96797
Phone (808) 366-8167

94-216 Farrington Hwy
Ste 102
Waipahu, HI 96797
Phone (808) 630-8388

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1023536976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970068",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970068",
            "telephone_number": "808-600-9148",
            "fax_number": "800-942-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY STE A-102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-600-9148",
            "fax_number": "800-942-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-DAR",
        "first_name": "KRIS DIANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.