Jacob Nicholas Eustaquio

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

770 Kapiolani Blvd Ste 104
Honolulu, HI 96813-5254

Phone

(808) 596-9446

NPI assigned

May 5, 2019

Last updated

May 5, 2019By the provider in NPPES

Sex

Male

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

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Associates LLCGroup PAC ID 5496730467, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Associates, LLC

  • Orthopedic Physical Therapist
  • Honolulu, HI
  • NPI 1710029012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557014400000",
    "number": "1205491297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ULUMALU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344325",
            "telephone_number": "808-542-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135254",
            "telephone_number": "808-596-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTAQUIO",
        "first_name": "JACOB",
        "middle_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-05",
        "last_updated": "2019-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene W M NG MD LLC
• Britton A. Eugene
• Desiree Gee Salud Eugenio, RN
• Ezralei Bautista Eugenio
• Eurofins Donor & Product Testing LLC
• Alex Evans
• Brooke S. Evans, LCSW
• James F C Evans, PA
• Maureen Louise Evans, RN, BSN
• Nicole Evans

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, 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 5, 2019; 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.