Individual provider Active NPI

Carelle Gamet Villanueva, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1215768171
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5978 Issued in HI
Practice address
94-216 Farrington Hwy # a-102
Waipahu, HI 96797-1922
Phone
(808) 600-9148
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT-5978 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy # a-102
Waipahu, HI 96797-1922

Mailing address

94-216 Farrington Hwy # a-102
Waipahu, HI 96797-1922
Phone (808) 600-9148

Other names 1

  • Carelle Gamet Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924004568 HI Practitioner - Physical Therapist in Private Practice 1153862669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Institute of Physical Therapy IncGroup PAC ID 2668771999, 9 clinicians

Practice addresses (Care Compare)

94-216 Farrington Hwy
A 102
Waipahu, HI 96797-1922
Phone (808) 600-9148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5978HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Institute of Physical Therapy Inc Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 410
Aiea, HI 96701
Phone (808) 488-5555

1401 S Beretania St
Ste 888
Honolulu, HI 96814
Phone (808) 206-5301

94-216 Farrington Hwy
#A102
Waipahu, HI 96797
Phone (808) 206-5301

94-216 Farrington Hwy
Waipahu, HI 96797
Phone (808) 383-8643

Organizations & group practices 1

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1215768171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY # A-102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-600-9148",
            "fax_number": "800-942-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY # A-102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-600-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CARELLE",
        "middle_name": "GAMET",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARELLE",
            "last_name": "GAMET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.