Ray Vicente San Nicolas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3221 Waialae Ave Ste 300
Honolulu, HI 96816-5845

Phone

(808) 737-4244

NPI assigned

Nov 13, 2024

Sex

Male

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Therapy Partners IncGroup PAC ID 3375433592, 6 clinicians

Practice addresses (Care Compare)

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.

• Rehab Therapy Partners, Inc.

  • Physical Therapist
  • Aiea, HI
  • NPI 1427002054
  Medicare reassignment Care Compare group NPD
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  HI

  Medicare reassignment

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1083438204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 WAIALAE AVE APT 313",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161540",
            "telephone_number": "808-225-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-737-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN NICOLAS",
        "first_name": "RAY VICENTE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel C H Lo MD & Jonathan Lo MD a Prof Corp
• Martha Machel Samuel
• San Diego Family Dentistry , Inc
• Maemerita B San Diego, DMD
• San Miguel Endocrine, Inc
• Rocio Maricela Sanchez Guzman
• Sanchez Prime Care PC
• Cassandra L. Sanchez, M.D.
• Emily Sanchez
• Donna L Sandberg, APRN

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, 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 13, 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.