Individual provider Active NPI

Keline Akiyoshi

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1104208529
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
44-264 Mikiola Dr
Kaneohe, HI 96744-2441
Phone
(808) 226-0299
NPI assigned
Jun 22, 2015
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 NU Primary

Addresses

Primary practice location

44-264 Mikiola Dr
Kaneohe, HI 96744-2441

Mailing address

44-264 Mikiola Dr
Kaneohe, HI 96744-2441
Phone (808) 226-0299

Other names 1

  • Keline Yoshimura Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415002145 HI Practitioner - Physical Therapist in Private Practice 1254761299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4024HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ptworks, LLC Physical Therapist CurrentSince Apr 6, 2020 Accepting new patients

Locations

91-1121 Keaunui Dr
Ste 108155
Ewa Beach, HI 96706

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1104208529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-264 MIKIOLA DR",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442441",
            "telephone_number": "808-226-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-264 MIKIOLA DR",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442441",
            "telephone_number": "808-226-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKIYOSHI",
        "first_name": "KELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELINE",
            "last_name": "YOSHIMURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.