Individual provider Active NPI

Patti H. Taira-Tokuuke, PT

  • Physical Therapist
  • Hilo, HI
National Provider Identifier
1164530176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1247 Issued in HI
Practice address
116 Hualalai St
Suite 101
Hilo, HI 96720-3820
Phone
(808) 969-3811
Fax
(808) 969-6630
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1247 HI Primary

Addresses

Primary practice location

116 Hualalai St
Suite 101
Hilo, HI 96720-3820

Mailing address

116 Hualalai St
Suite 101
Hilo, HI 96720-3820
Phone (808) 969-3811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000361 HI Practitioner - Physical Therapist in Private Practice 1153224555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Hawaii Rehab IncGroup PAC ID 7911800305, 2 clinicians

Practice addresses (Care Compare)

116 Hualalai St
Suite 101
Hilo, HI 96720-3820
Phone (808) 969-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1247HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Hawaii Rehab, Inc. Physical Therapist CurrentSince Sep 22, 2003 Accepting new patients
Dwight James Lin MD Inc PastSince Sep 22, 2003 Accepting new patients

Locations

116 Hualalai St
Ste 101
Hilo, HI 96720
Phone (808) 528-5500

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164530176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HUALALAI ST",
            "address_2": "SUITE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203820",
            "telephone_number": "808-969-3811",
            "fax_number": "808-969-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HUALALAI ST",
            "address_2": "SUITE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203820",
            "telephone_number": "808-969-3811",
            "fax_number": "808-969-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIRA-TOKUUKE",
        "first_name": "PATTI",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.