Individual provider Active NPI

Bernardo Bernardo Soriano, MPT

  • Physical Therapist
  • Wahiawa, HI
National Provider Identifier
1174570824
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2119 Issued in HI
Practice address
916 A Kilani Ave
Wahiawa, HI 96786-2396
Phone
(808) 621-6400
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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 2119 HI Primary

Addresses

Primary practice location

916 A Kilani Ave
Wahiawa, HI 96786-2396

Mailing address

99-416 Hoio PL
Aiea, HI 96701-3528
Phone (808) 676-8045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000567 HI Practitioner - Physical Therapist in Private Practice 1153329966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oahu Physical Therapy Specialists LLC 7 clinicians

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 707
Aiea, HI 96701-4339
Phone (808) 450-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2119HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist CurrentSince Dec 1, 2006 Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist CurrentSince Dec 1, 2006 Accepting new patients

Locations

98-211 Pali Momi St
Ste 707
Aiea, HI 96701
Phone (808) 382-3388

916 Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-5042

916A Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-6400

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1174570824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-416 HOIO PL",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013528",
            "telephone_number": "808-676-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 A KILANI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862396",
            "telephone_number": "808-621-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "BERNARDO",
        "middle_name": "BERNARDO",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.