Active NPI
Sidney K. Kiriu, PT
- Physical Therapist
- Hilo, HI
National Provider Identifier
1043263973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-423
- Practice address
- 1292 Waianuenue Ave
Hilo, HI 96720-1228 - Phone
- (808) 934-4000
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-423 | HI | Primary |
Addresses
Primary practice location
1292 Waianuenue Ave
Hilo, HI 96720-1228
Mailing address
1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (808) 934-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04176602 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-423 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1043263973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 WAIANUENUE AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967201228",
"telephone_number": "808-934-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1292 WAIANUENUE AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967201228",
"telephone_number": "808-934-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRIU",
"first_name": "SIDNEY",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04176602",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.