Joshua Raymond Hostetler
Individual provider Active NPI Physical Therapy Assistant · Honolulu, HI
NPI 1033955737 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1033955737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 730 (HI)
- Practice address
- 5113 Maunalani Cir
Honolulu, HI 96816-4019 - Phone
- (808) 732-0771
- NPI assigned
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 730 | HI | MD | Forensic Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 730 | HI | Yes |
Addresses
Primary practice location
5113 Maunalani Cir
Honolulu, HI 96816-4019
Mailing address
1830 Palm Ave
Pearl City, HI 96782-3775
Phone (309) 340-0546
NPI Registry JSON
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1033955737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 PALM AVE",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823775",
"telephone_number": "309-340-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5113 MAUNALANI CIR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164019",
"telephone_number": "808-732-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTETLER",
"first_name": "JOSHUA",
"middle_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "HI",
"license": "730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Hsiao-Ling Shen Hoshino
- Colin Garreth Hosking
- Hospice Hawaii, Inc.
- Hospice Hawaii, Inc.
- Fred Charles Host
- Gayle Hostetter
- Sophia Hotea
- Sage Hottendorf
- Jingwen Hou
- Ashley S Hough
All providers in Honolulu, HI · Physical Therapy Assistant in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.