Tyler Mikami

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5234-0 Issued in HI

Practice address

46-005 Kawa St Ste 211
Kaneohe, HI 96744-3838

Phone

(808) 235-6818

NPI assigned

Aug 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holomua Physical Therapy LLCGroup PAC ID 0345414702, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Holomua Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1578842787

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1184398869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-108 HALOKO PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063922",
            "telephone_number": "808-291-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 211",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443838",
            "telephone_number": "808-235-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKAMI",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5234-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Kokua
• Kathleen Rhoads Merriam, LCSW, CSAC
• Wendy Meyers, RN
• Ellen K. Mickels, M.D.
• Mark Mierzwa, PHARMD
• Riana Miles, LMT
• Gretchen Miller, ATC, CSCS
• Megan N Miller
• Chan Hong Min
• Susan Marie Minnich, FNP-BC

• Physical Therapist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.