Individual provider Active NPI

Jaime Noriko Kuamo'O, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1043497100
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3015 Issued in HI
Practice address
3660 Waialae Ave
Suite 205
Honolulu, HI 96816-3257
Phone
(808) 732-2500
Fax
(808) 732-2501
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29396 CA
Physical Therapist 225100000X 3015 HI Primary

Addresses

Primary practice location

3660 Waialae Ave
Suite 205
Honolulu, HI 96816-3257

Mailing address

1070 Awawamalu St Apt C
Honolulu, HI 96825-2615
Phone (808) 729-4419

Other names 1

  • Jaime Noriko Kawaguchi Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000349 HI Practitioner - Physical Therapist in Private Practice 6901951284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holcomb Physical Therapy PlusGroup PAC ID 6204059413, 2 clinicians

Practice addresses (Care Compare)

3660 Waialae Ave
Suite 205
Honolulu, HI 96816-3258
Phone (808) 732-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Physical Therapy CurrentSince Jan 10, 2021 Accepting new patients
Holcomb Physical Therapy Plus CurrentSince May 1, 2015 Accepting new patients
Weiss P.T., Inc. Physical Therapist Past Accepting new patients

Locations

5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114

3660 Waialae Ave
Ste 205
Honolulu, HI 96816
Phone (702) 334-0178

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1043497100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 AWAWAMALU ST APT C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252615",
            "telephone_number": "808-729-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 WAIALAE AVE",
            "address_2": "SUITE 205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163257",
            "telephone_number": "808-732-2500",
            "fax_number": "808-732-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUAMO'O",
        "first_name": "JAIME",
        "middle_name": "NORIKO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29396",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "KAWAGUCHI",
            "middle_name": "NORIKO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.