Individual provider Active NPI

Kyle Higuchi, PHYSICAL THERAPIST

  • Physical Therapist
  • Pearl City, HI
National Provider Identifier
1174698146
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2267 Issued in HI
Practice address
880 Kamehameha Hwy
Pearl City, HI 96782-2649
Phone
(808) 456-5888
Fax
(808) 455-6936
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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 2267 HI Primary

Addresses

Primary practice location

880 Kamehameha Hwy
Pearl City, HI 96782-2649

Mailing address

PO Box 1300
Honolulu, HI 96807-1300
Phone (808) 456-5888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000450 HI Practitioner - Physical Therapist in Private Practice 1557357845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmedicine Hawaii LTDGroup PAC ID 1557251956, 4 clinicians

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 300
Aiea, HI 96701-4318
Phone (808) 456-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2267HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmedicine Hawaii LTD Physical Therapist CurrentSince Aug 4, 2003 Accepting new patients

Locations

98-211 Pali Momi St
Ste 300
Aiea, HI 96701
Phone (808) 456-5888

800 S Beretania St
Ste 100
Honolulu, HI 96813
Phone (808) 533-4545

880 Kamehameha Hwy
Pearl City, HI 96782
Phone (808) 456-5888

Organizations & group practices 1

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1174698146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-456-5888",
            "fax_number": "808-455-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 KAMEHAMEHA HWY",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822649",
            "telephone_number": "808-456-5888",
            "fax_number": "808-455-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGUCHI",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.