Organization Active NPI

Haraguchi Physical Therapy & Orthopedics LLC

  • Physical Therapy Clinic/Center
  • Kilauea, HI
National Provider Identifier
1033879515
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HARAGUCHI PHYSICAL THERAPY & ORTHOPEDICS LLC
Practice address
2555 Ala Namahana Pkwy Ste G1
Kilauea, HI 96754-5395
Phone
(808) 639-5130
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Dr. Emelia Loren Haraguchi, PT, DPT, OCSNPI 1841567179
Title
Doctor of Physical Therapy, Ceo
Phone
(808) 639-5130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2555 Ala Namahana Pkwy Ste G1
Kilauea, HI 96754-5395

Mailing address

PO Box 439
Anahola, HI 96703-0439
Phone (808) 639-5130

Other identifiers 1

IdentifierTypeStateIssuer
735095MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318002063 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668865155 Receives reassigned benefits from 1 practitioner
Practice locations: Kilauea, HI

National Provider Directory

National Provider Directory

Locations

2555 Ala Namahana Pkwy
Ste G1
Kilauea, HI 96754
Phone (808) 378-2808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1033879515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "ANAHOLA",
            "state": "HI",
            "postal_code": "967030439",
            "telephone_number": "808-639-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 ALA NAMAHANA PKWY STE G1",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545395",
            "telephone_number": "808-639-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARAGUCHI PHYSICAL THERAPY & ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "HARAGUCHI",
        "authorized_official_first_name": "EMELIA",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY,  CEO",
        "authorized_official_telephone_number": "808-639-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735095",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilauea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.