Individual provider Active NPI

Robin Brayant Pugal Agngarayngay, PTA

  • Physical Therapy Assistant
  • Honolulu, HI
National Provider Identifier
1194245571
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
343 Issued in HI
Practice address
2230 Liliha St
Honolulu, HI 96817-1646
Phone
(808) 547-6028
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 343 HI Primary

Addresses

Primary practice location

2230 Liliha St
Honolulu, HI 96817-1646

Mailing address

961 Robello LN # 337
Honolulu, HI 96817-4546
Phone (808) 670-4313

Other practice location 1

2228 Liliha Street St. Francis Healthcare System
Honolulu, HI 96817
Phone (808) 547-6028

Other names 1

  • Mr. Robin Brayant Pugal Agngarayngay Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
343HIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194245571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 ROBELLO LN # 337",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174546",
            "telephone_number": "808-670-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2228 LILIHA STREET ST. FRANCIS HEALTHCARE SYSTEM",
            "address_purpose": "LOCATION",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "country_code": "US",
            "telephone_number": "808-547-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNGARAYNGAY",
        "first_name": "ROBIN BRAYANT",
        "middle_name": "PUGAL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "HI",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN BRAYANT",
            "last_name": "AGNGARAYNGAY",
            "middle_name": "PUGAL",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.