Justin N R Magsanoc, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5079 Issued in HI

Practice address

1001 Kamokila Blvd Ste 114
Kapolei, HI 96707-2095

Phone

(808) 674-0500

Fax

(808) 674-0511

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stayfit Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Aiea, HI
  • NPI 1740488006
  Medicare reassignment NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1053927947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1114 HANAKAHI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062241",
            "telephone_number": "808-230-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 114",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072095",
            "telephone_number": "808-674-0500",
            "fax_number": "808-674-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99-128 Aiea Heights Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967013968",
            "country_code": "US",
            "telephone_number": "808-487-0487",
            "fax_number": "808-486-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGSANOC",
        "first_name": "JUSTIN",
        "middle_name": "N R",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Marie Madeira, PSY.D.
• Bernardette Iyoko Madiro, LSW
• Vitae Trilles Magana, RN
• Melinda Ragas Magnayon Prado, REGISTERED NURSE
• Magnolia Family Therapy Center
• Marsha Mahelona, LMT, COTA
• Larisa M. Mahns, PT
• Tiresa Maiava, RBT
• Emily K Makahi, LCSW
• Jacob Makaiwi

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.