Active NPI
Michael Reyes
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1063321305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-3679
- Practice address
- 2459 10TH Ave
Honolulu, HI 96816-3051 - Phone
- (808) 206-0808
- NPI assigned
- Sep 2, 2026
- Last updated
- Sep 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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-3679 | HI | Primary |
Addresses
Primary practice location
2459 10TH Ave
Honolulu, HI 96816-3051
Mailing address
478 Kunehi St Apt 103
Kapolei, HI 96707-2088
Phone (808) 206-0808
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1063321305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 KUNEHI ST APT 103",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072088",
"telephone_number": "808-206-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 10TH AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163051",
"telephone_number": "808-206-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-3679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.