Thea Ann Cayaban de Vero, PT/PTA

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

PTA-582 Issued in HI

Practice address

Pohakea Elementary School
91750 Fort Weaver Road
Ewa Beach, HI 96706

Phone

(808) 689-1290

NPI assigned

Nov 26, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1184440992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-333 MOKUOLA ST APT 308",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976320",
            "telephone_number": "808-636-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POHAKEA ELEMENTARY SCHOOL",
            "address_2": "91750 FORT WEAVER ROAD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "808-689-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-333 Mokuola St Apt 308",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967976320",
            "country_code": "US",
            "telephone_number": "808-636-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAYABAN DE VERO",
        "first_name": "THEA ANN",
        "credential": "PT/PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "HI",
            "license": "PTA-582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Castillo, MFT
• Winalle Rose Castillo
• Persephone Castro
• Alice Caudill
• Lisa Christine Cavanagh, PSY.D.
• Center for Allergy and Respiratory Diseases Inc.
• Vanessa Dulay Cerezo
• David Sung Geun Cha, MD
• Jacqueline Yvonne Chacon, ANP
• Melissa Chamlee

• Pediatric Rehabilitation Medicine Physician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Pediatric Rehabilitation Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.