Individual provider Active NPI

Yvette Vincee Farala Logue, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1093587834
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5784 Issued in HI
Practice address
1448 Kamehameha IV Rd Apt C
Honolulu, HI 96819-2561
Phone
(808) 953-7015
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5784 HI Primary

Addresses

Primary practice location

1448 Kamehameha IV Rd Apt C
Honolulu, HI 96819-2561

Mailing address

1126 3Rd Ave Apt 4
Honolulu, HI 96816-5814

Other names 1

  • Yvette Vincee Robles Farala Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228003350 HI Practitioner - Physical Therapist in Private Practice 4284155698 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5784HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 26, 2024 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Jun 14, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 26, 2024 Accepting new patients
Enphysio LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients

Locations

1350 S King St
Ste 307
Honolulu, HI 96814
Phone (808) 342-1706

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1093587834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 3RD AVE APT 4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 KAMEHAMEHA IV RD APT C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192561",
            "telephone_number": "808-953-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "YVETTE VINCEE",
        "middle_name": "FARALA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE VINCEE",
            "last_name": "FARALA",
            "middle_name": "ROBLES",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 10, 2025; 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.