Kellie C.M Yang, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3463 Issued in HI

Practice address

91-1027 Shangrila St.,
BLDG 1867
Kapolei, HI 96707-2101

Phone

(808) 674-9595

Fax

(808) 674-9696

NPI assigned

May 31, 2012

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Makai Mobile Rehab LLCGroup PAC ID 5193862175, 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.

• Makai Mobile Rehab, LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1649408683

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Makai Mobile Rehab, LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1265326953
  NPD
• Elam Sports, Inc

  • Physical Therapist
  • Kapolei, HI
  • NPI 1316982523
  NPD (past)
• Elam Sports, Inc.

  • Physical Therapist
  • Pearl City, HI
  • NPI 1770512048
  NPD (past)
• Warfighter'S Clinic

  • Pain Medicine Physician
  • Kapolei, HI
  • NPI 1003357765
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1205197779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1027 SHANGRILA ST.,",
            "address_2": "BLDG 1867",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072101",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1027 SHANGRILA ST.,",
            "address_2": "BLDG 1867",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072101",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KELLIE",
        "middle_name": "C.M",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Songchen Xu, D.C.
• Karen Yabuno
• Karen L Yafuso, RD
• Chloe Yahner
• Janea Yamagata-Lopez, RN, DNP
• Summer Corpuz Yanos
• Michelle Ulit Yasuda
• Sheri Yasuna, PH.D.
• Lisa L Yip, DPT
• Michelle Kunita Yorm, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.