Individual provider Active NPI

Melissa Jamerino

  • Physical Therapist
  • Kapaa, HI
National Provider Identifier
1104125079
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3308 Issued in HI
Practice address
95 No Ka Oi PL
Kapaa, HI 96746
Phone
(808) 346-8530
NPI assigned
Mar 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 3308 HI Primary

Addresses

Primary practice location

95 No Ka Oi PL
Kapaa, HI 96746

Mailing address

95 No Ka Oi PL
Kapaa, HI 96746-9368
Phone (808) 346-8530

Other practice location 1

95 No kai oi Place
Kapaa, HI 96746
Phone (808) 346-8530

Other practice location 2

4381 Kukui Grove St Ste 3
Lihue, HI 96766-1639
Phone (808) 246-0144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000660 HI Practitioner - Physical Therapist in Private Practice 5799954947 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3308HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Corporation CurrentSince Apr 3, 2017 Accepting new patients
Rehabilitation and Orthopedic Center of Kauai Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients
Hoola Physical Therapy LLC Physical Therapist CurrentSince Jun 5, 2022 Accepting new patients
AMC Corporation Physical Therapist CurrentSince Apr 3, 2017 Accepting new patients
Impact Sports Inc Physical Therapist PastSince Aug 4, 2019 Accepting new patients
Pacific Eye Center, Inc Past Accepting new patients
Hawaii Sports and Balance Center Physical Therapist Past Accepting new patients

Locations

2-2514 Kaumualii Hwy
Ste 211
Kalaheo, HI 96741
Phone (808) 495-8668

Organizations & group practices 7

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1104125079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NO KA OI PL",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469368",
            "telephone_number": "808-346-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NO KA OI PL",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "96746",
            "telephone_number": "808-346-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 No kai oi Place",
            "address_purpose": "LOCATION",
            "city": "Kapaa",
            "state": "HI",
            "postal_code": "96746",
            "country_code": "US",
            "telephone_number": "808-346-8530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4381 Kukui Grove St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661639",
            "country_code": "US",
            "telephone_number": "808-246-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMERINO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.