Individual provider Active NPI

Kody John Seminara, DPT, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1063173227
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6042 Issued in HI
Practice address
94-849 Lumiaina St Unit 101
Waipahu, HI 96797-5677
Phone
(808) 381-8947
Fax
(800) 586-4356
NPI assigned
Jan 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA-611 HI
Physical Therapist 225100000X PT-6042 HI Primary

Addresses

Primary practice location

94-849 Lumiaina St Unit 101
Waipahu, HI 96797-5677

Mailing address

1401 S Beretania St Ste 550
Honolulu, HI 96814-1880
Phone (808) 381-8947

Other practice location 1

4559 tenth ave
Honolulu, HI 96816
Phone (808) 737-2555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211003718 HI Practitioner - Physical Therapist in Private Practice 3072049295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaco Rehab Waikele Limited PartnershipGroup PAC ID 2769819804, 7 clinicians

Practice addresses (Care Compare)

94 -849 Lumiaina St
Unit 101
Waipahu, HI 96797-5677
Phone (808) 381-8947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6042HIMDPhysical Therapist
PTA-611HIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jaco Rehab Kapolei Limited Partnership Physical Therapist CurrentSince Oct 5, 2024 Accepting new patients
Jaco Rehab Mililani Limited Partnership Physical Therapist CurrentSince Oct 5, 2024 Accepting new patients
Jaco Rehab Honolulu Limited Partnership Physical Therapist CurrentSince Oct 5, 2024 Accepting new patients
Jaco Rehab Waikele Limited Partnership Physical Therapist CurrentSince Oct 5, 2024 Accepting new patients

Locations

1401 S Beretania St
Ste 550
Honolulu, HI 96814
Phone (808) 591-2244

599 Farrington Hwy
Ste 206
Kapolei, HI 96707
Phone (301) 421-1125

95-1105 Ainamakua Dr
Ste 203
Mililani, HI 96789
Phone (209) 770-6581

94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947

Organizations & group practices 4

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1063173227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST UNIT 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975677",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4559 tenth ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96816",
            "country_code": "US",
            "telephone_number": "808-737-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMINARA",
        "first_name": "KODY",
        "middle_name": "JOHN",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "HI",
            "license": "PTA-611",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.