Island Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ISLAND PHYSICAL THERAPY, INC

Practice address

1314 S King St
Suite 1451
Honolulu, HI 96814-1956

Phone

(808) 593-2610

Fax

(808) 591-9420

NPI assigned

Nov 2, 2006

Organization subpart

No

Name

Mr. Derrick K Ishihara, PTNPI 1306813639

Title

Owner

Phone

(808) 593-2610

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derrick Keiji Ishihara, P.T.

  • Physical Therapist
  • Honolulu, HI
  • NPI 1306813639
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164500286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 1451",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956",
            "telephone_number": "808-593-2610",
            "fax_number": "808-591-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 1451",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956",
            "telephone_number": "808-593-2610",
            "fax_number": "808-591-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISHIHARA",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-593-2610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250084",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Nursing Home, Inc.
• Island Obstetrics & Gynecology LLP
• Island Orthopaedics, LLC
• Island Pacific Medical Center
• Island Paradise Investments, LP
• Island Psychiatric Care LLC
• Island Speech Therapy, LLC
• Island Surgical Specialists, LLC
• Island Urgent Care LLC
• Island Urgent Care Waikiki LLC

• All providers in Honolulu, HI
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.