Miresa Regacho Yamamoto

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4657 Issued in HI

Practice address

888 Kapiolani Blvd Apt 2211
Honolulu, HI 96813-6040

Phone

(813) 720-3026

NPI assigned

Jan 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Body Owners Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Apopka, FL
  • NPI 1720151723
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1114384872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 KAPIOLANI BLVD APT 2211",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136040",
            "telephone_number": "813-720-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 KAPIOLANI BLVD APT 2211",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136040",
            "telephone_number": "813-720-3026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Lake Chapman Dr",
            "address_2": "Apt 101",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104099",
            "country_code": "US",
            "telephone_number": "813-638-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "MIRESA",
        "middle_name": "REGACHO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31094",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Yamamoto, RN
• Kelvin Yoshito Yamamoto
• Kent Satoshi Yamamoto, M.D.
• Keri Michie Yamamoto, OTR, LMT
• Loren Gene Yamamoto, M.D.
• Mitsuru Yamamoto, DDS
• Stephanie Yamamoto, PT, DPT
• Thomas Alan Yamamoto, D.D.S.
• Tiffany Anne Yamamoto, PSYD
• Mark S. Yamamura, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.