Jazmine Alexis Moreno, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

335 Hoohana St Ste F
Kahului, HI 96732-3527

Phone

(808) 446-2032

NPI assigned

Aug 8, 2023

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

Other names 1

• Jazz Moreno Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Elliott Physical Therapy, Inc.

  • Physical Therapist
  • Dorchester, MA
  • NPI 1639591126
  Medicare reassignment NPD
• Pediatric Therapies Hawaii

  • Pediatric Physical Therapist
  • Kahului, HI
  • NPI 1427562305
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1023791829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MANO DR",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HOOHANA ST STE F",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323527",
            "telephone_number": "808-446-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JAZMINE",
        "middle_name": "ALEXIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZZ",
            "last_name": "MORENO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karli Kuulani Oliveira Miyazono, RN
• John T Mizoguchi, OTR
• Cheryl Monten-Tsalapatanis
• Carla D Moore
• Charles Sigfredo Morales, LMT
• Rebecca Jane Moriconi, LSW
• Hollingsworth C Morton
• Dillon U Moss, DPM
• Mylene Motomura
• Susan Muller, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.