Kelli Berna Kikue Kawamoto

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2513 Issued in HI

Practice address

3558 Woodlawn Dr Apt a
Honolulu, HI 96822-1494

Phone

(808) 475-1225

NPI assigned

Aug 21, 2019

Last updated

Jul 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ptworks, LLC

  • Physical Therapist
  • Honolulu, HI
  • NPI 1831387158
  Medicare reassignment NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1174170419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 WOODLAWN DR APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 WOODLAWN DR APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221494",
            "telephone_number": "808-475-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kahelu Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967893913",
            "country_code": "US",
            "telephone_number": "808-625-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAMOTO",
        "first_name": "KELLI",
        "middle_name": "BERNA KIKUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-2513",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Yasuto Kawakami, D.M.D.
• Reid Kawakami, AGNP-BC, CDE
• Sharice Nohea Kawakami
• Aaron Kawamoto, PHARMD
• Jennifer L Kawamoto, LAC, ATC
• Kellie Tomie Kawamoto, OTD, OTR/L
• Kris Ren Kawamoto, MD
• Scott Takeo Kawamoto, M.D.
• Shelliann Aiko Kawamoto, D.D.S.
• Brooke Kimi Anuhea Kawamura, MD

• Occupational Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.