Individual provider Active NPI

Rachel Miyoga, DPT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1194451229
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5512 Issued in HI
Practice address
99-128 Aiea Heights Drive
#207
Aiea, HI 96701-3968
Phone
(808) 487-0487
Fax
(808) 486-8674
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT5512 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Drive
#207
Aiea, HI 96701-3968

Mailing address

94-1187 Halelaukoa Dr
Waipahu, HI 96797-6211
Phone (808) 277-2885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908003412 HI Practitioner - Physical Therapist in Private Practice 5193109262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stayfit Physical Therapy LLCGroup PAC ID 4486755733, 16 clinicians

Practice addresses (Care Compare)

99 -128 Aiea Heights Dr
Suite 207
Aiea, HI 96701-3968
Phone (808) 487-0487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5512HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates, LLC CurrentSince Aug 8, 2022 Accepting new patients
Stayfit Physical Therapy LLC CurrentSince May 15, 2023 Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 207
Aiea, HI 96701
Phone (808) 487-0487

770 Kapiolani Blvd
Ste 104
Honolulu, HI 96813
Phone (808) 596-9446

1001 Kamokila Blvd
Ste 114
Kapolei, HI 96707
Phone (808) 674-0500

94-547 Ukee St
Ste 100
Waipahu, HI 96797
Phone (808) 596-9160

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1194451229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1187 HALELAUKOA DR",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976211",
            "telephone_number": "808-277-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DRIVE",
            "address_2": "#207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013968",
            "telephone_number": "808-487-0487",
            "fax_number": "808-486-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYOGA",
        "first_name": "RACHEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.