Organization Active NPI

Yoshimoto Physical Therapy LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1194948273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YOSHIMOTO PHYSICAL THERAPY LLC
Practice address
600 Kapiolani Blvd
#208
Honolulu, HI 96813
Phone
(808) 525-5300
Fax
(808) 525-5301
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dean Makoa Yoshimoto, MPTNPI 1548470586
Title
Owner
Phone
(808) 525-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

600 Kapiolani Blvd
#208
Honolulu, HI 96813

Mailing address

600 Kapiolani Blvd
#208
Honolulu, HI 96813
Phone (808) 525-5300

Other identifiers 1

IdentifierTypeStateIssuer
07928702MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000901 HI Part B Supplier - Clinic/Group Practice 3375432800 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

600 Kapiolani Blvd
Ste 409
Honolulu, HI 96813
Phone (808) 226-0260

600 Kapiolani Blvd
Ste 208
Honolulu, HI 96813
Phone (808) 525-5300

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194948273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KAPIOLANI BLVD",
            "address_2": "#208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-525-5300",
            "fax_number": "808-525-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KAPIOLANI BLVD",
            "address_2": "#208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-525-5300",
            "fax_number": "808-525-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSHIMOTO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOSHIMOTO",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "MAKOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-525-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07928702",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.