Individual provider Active NPI

Noel Urbano Nakao, COTA/L

  • Occupational Therapy Assistant
  • Kaneohe, HI
National Provider Identifier
1124885991
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
262 Issued in HI
Practice address
45-090 Namoku St
Kaneohe, HI 96744-5305
Phone
(808) 247-6211
NPI assigned
Feb 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 262 HI Primary

Addresses

Primary practice location

45-090 Namoku St
Kaneohe, HI 96744-5305

Mailing address

3552 Puuku Makai Dr
Honolulu, HI 96818-2812
Phone (808) 649-0650

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

LicenseStateTypeSpecialty
262HIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1124885991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 PUUKU MAKAI DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182812",
            "telephone_number": "808-649-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-090 NAMOKU ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445305",
            "telephone_number": "808-247-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAO",
        "first_name": "NOEL",
        "middle_name": "URBANO",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "HI",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.