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

LicenseStateTypeSpecialty
730HIMDForensic Psychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2024.

{
    "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

All providers in Honolulu, HI · Physical Therapy Assistant in Hawaii

Sources for this page

Verify at the official NPI Registry.