NPIMap

Individual provider Active NPI

Mari A Kitagawa, DPT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1104180165
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3483 Issued in HI
Practice address
98-1247 Kaahumanu St.
#118
Aiea, HI 96701
Phone
(808) 674-9595
Fax
(808) 674-9696
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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-3483 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St.
#118
Aiea, HI 96701

Mailing address

91-1027 Shangrila St.,
BLDG 1867
Kapolei, HI 96707-2101
Phone (808) 674-9595

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Warfighter'S Clinic Past Accepting new patients

Organizations & group practices 3

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1104180165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1027 SHANGRILA ST.,",
            "address_2": "BLDG 1867",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072101",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST.",
            "address_2": "#118",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAGAWA",
        "first_name": "MARI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.