Kylie R Nishisaka, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5838 Issued in HI

Practice address

677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417

Phone

(808) 734-0010

Fax

(808) 734-0013

NPI assigned

Dec 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oahu Physio Therapy IncGroup PAC ID 9234230301, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oahu Physio Therapy Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1437366507
  Medicare reassignment Care Compare group NPD
• Gesik Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1285977850
  Medicare reassignment NPD
• THPT, Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1619960275
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1144099045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHISAKA",
        "first_name": "KYLIE",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE PT LICENSE",
            "identifier": "PT-5838",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nishina
• Kimberly Dawn Nishina, ARNP
• Frances M Nishioka, OTR
• Jennifer N. Nishioka, MD
• Scott Nishioka
• Laura Catherine Moa Nishizaki, LCSW
• Marinez Niskey
• Laurie Kurosaki Nitta-Lee, OTD
• Jamie Nitta-McGrew
• Danton Chase Juen Ming Nitta, PHARMD

• 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 Dec 22, 2023; 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.