Individual provider Active NPI

Rizel Patricio De Guzman

  • Physical Therapist
  • Pearl City, HI
National Provider Identifier
1114683679
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5104 Issued in HI
Practice address
719 Kamehameha Hwy Ste C101
Pearl City, HI 96782-2773
Phone
(808) 723-2921
NPI assigned
Nov 9, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 5104 HI Primary

Addresses

Primary practice location

719 Kamehameha Hwy Ste C101
Pearl City, HI 96782-2773

Mailing address

719 Kamehameha Hwy Ste C101
Pearl City, HI 96782-2773
Phone (808) 723-2921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201002474 HI Practitioner - Physical Therapist in Private Practice 1153711320 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5104HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enphysio LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Newtown Chiropractic & Naturopathic Clinic Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aloha Wellness Center Inc. CurrentSince Dec 1, 2021 Accepting new patients

Locations

719 Kamehameha Hwy
Ste B101
Pearl City, HI 96782
Phone (808) 487-9999

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, 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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1114683679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 KAMEHAMEHA HWY STE C101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822773",
            "telephone_number": "808-723-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 KAMEHAMEHA HWY STE C101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822773",
            "telephone_number": "808-723-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "RIZEL",
        "middle_name": "PATRICIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.