Dulyawat Imraporn, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT5085 Issued in HI

Practice address

500 Ala Moana Blvd Ste 6D
Honolulu, HI 96813-4984

Phone

(808) 680-9123

Fax

(808) 680-9889

NPI assigned

Feb 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Hawaii IncGroup PAC ID 6406747351, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• PT Hawaii, Inc.

  • Orthopedic Physical Therapist
  • Waipahu, HI
  • NPI 1598718181
  Medicare reassignment Care Compare group NPD
• P.T. Hawaii, Inc

  • Physical Therapist
  • Waipahu, HI
  • NPI 1699720615
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1104366913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 6D",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134984",
            "telephone_number": "808-680-9123",
            "fax_number": "808-680-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 6D",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134984",
            "telephone_number": "808-680-9123",
            "fax_number": "808-680-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMRAPORN",
        "first_name": "DULYAWAT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291900",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT5085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0442952",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nchewi Michael Imoke, PSY.D.
• Imoto Mobile Therapy LLC
• Elaine Imoto, MD
• Youhei Imoto
• Implied Human Dynamics Personal Care Home
• Glendale M. Imson, CRNA, MSN
• Imua Medical Equipment and Supplies,LLC
• Imua Orthopedics, Sports & Health, LLC
• Carolyn Imura
• Michael K Imura, M.D.

• Orthopedic Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Orthopedic Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.