Active NPI
Robin Putnam
- Pediatric Occupational Therapist
- Waipahu, HI
National Provider Identifier
1114343431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1777
- Practice address
- 94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485 - Phone
- (808) 260-9056
- NPI assigned
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 115906 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 1777 | HI | Primary |
Addresses
Primary practice location
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Mailing address
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115906 | TX | MD | Specialist |
| 1777 | HI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy LLC | Pediatrics | Current | Accepting new patients |
| Pediaplex Management Company LLC | Past | Accepting new patients |
Locations
1425 Keolu Dr
Kailua, HI 96734
Phone (808) 260-9056
94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
Phone (808) 260-9056
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Southlake, TX
- NPI 1821374687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1114343431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-1181 KA UKA BLVD STE C",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1181 KA UKA BLVD STE C",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974485",
"telephone_number": "808-260-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "ROBIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-11",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "115906",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "1777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.