Individual provider Active NPI

Ryan K Kuwahara, PT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1124196480
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1691 Issued in HI
Practice address
99-128 Aiea Heights Dr
#207
Aiea, HI 96701-3925
Phone
(808) 487-0487
Fax
(808) 486-8674
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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 PT1691 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr
#207
Aiea, HI 96701-3925

Mailing address

99-128 Aiea Heights Dr
#207
Aiea, HI 96701-3925
Phone (808) 487-0487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000482 HI Practitioner - Physical Therapist in Private Practice 2567564537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chart Rehabilitation of Hawaii IncGroup PAC ID 9436154499, 14 clinicians

Practice addresses (Care Compare)

94 -810 Moloalo St
Suite 220
Waipahu, HI 96797-3355
Phone (808) 671-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1691HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chart Rehabilitation of Hawaii Inc Physical Therapist CurrentSince May 4, 2012 Accepting new patients
Stayfit Physical Therapy LLC Past Accepting new patients
Warfighter'S Clinic Past Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients
Chart Rehabilitation of Hawaii Inc Physical Therapist Past Accepting new patients

Locations

826 S King St
Honolulu, HI 96813
Phone (808) 523-9043

1357 Kapiolani Blvd
Ste 800
Honolulu, HI 96814
Phone (808) 523-9043

94-810 Moloalo St
Ste 220
Waipahu, HI 96797
Phone (808) 671-1711

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1124196480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "#207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-487-0487",
            "fax_number": "808-486-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "#207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-487-0487",
            "fax_number": "808-486-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUWAHARA",
        "first_name": "RYAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.