Active NPI
Jonifer Fernandez Hayes, MPT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1073675765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1803
- Practice address
- 3465 Waialae Ave Ste 240
Honolulu, HI 96816-2664 - Phone
- (808) 753-7617
- Fax
- (808) 735-3556
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- 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 | 1803 | HI | Primary |
Addresses
Primary practice location
3465 Waialae Ave Ste 240
Honolulu, HI 96816-2664
Mailing address
3104 Oahu Ave
Honolulu, HI 96822-1246
Phone (808) 258-2537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506462-06 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 12TH Ave
Suite 302
Honolulu, HI 96816-3790
Phone (808) 734-4043
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptworks, LLC | Physical Therapist | Current | Accepting new patients |
| Fysiotherapie Hawaii Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Rehab, Inc. | Physical Therapist | Current | Accepting new patients |
| South Shore Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
91-1121 Keaunui Dr
Ste 108155
Ewa Beach, HI 96706
3465 Waialae Ave
Ste 240
Honolulu, HI 96816
Phone (808) 753-7617
1120 12th Ave
Ste 302
Honolulu, HI 96816
Phone (808) 734-4043
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1073675765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 OAHU AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221246",
"telephone_number": "808-258-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 WAIALAE AVE STE 240",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162664",
"telephone_number": "808-753-7617",
"fax_number": "808-735-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "JONIFER",
"middle_name": "FERNANDEZ",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "1803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506462-06",
"state": "HI"
}
],
"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 Nov 24, 2021; 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.