Active NPI
Wessel Johannes Oosthuizen, PT , COMT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1144323114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2192
- Practice address
- 1441 Kapiolani Blvd Ste 1113
Suite 1113
Honolulu, HI 96814-4406 - Phone
- (808) 218-3660
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2192 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd Ste 1113
Suite 1113
Honolulu, HI 96814-4406
Mailing address
1690 Ala Moana Blvd
Apt. 1505
Honolulu, HI 96815-1460
Phone (808) 393-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000245985 | Medicaid | HI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2192 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott J. Miscovich MD, LLC | Past | Accepting new patients | |
| Portner Orthopedic Rehabilitation Incorporated | Past | Accepting new patients | |
| Physiocare Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18110/brand/1/csg/1/fhir/r4
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.
-
- Physical Medicine & Rehabilitation Physician
- Kaneohe, HI
- NPI 1316087315
-
- Family Medicine Physician
- Kaneohe, HI
- NPI 1073796868
-
- Physical Therapist
- Astoria, NY
- NPI 1366600793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144323114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 ALA MOANA BLVD",
"address_2": "APT. 1505",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151460",
"telephone_number": "808-393-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 1113",
"address_2": "SUITE 1113",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144406",
"telephone_number": "808-218-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OOSTHUIZEN",
"first_name": "WESSEL",
"middle_name": "JOHANNES",
"name_prefix": "Mr.",
"credential": "PT , COMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT2192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000245985",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.