Individual provider Active NPI

Evan Hiraga

  • Physical Therapist
  • Kapolei, HI
National Provider Identifier
1225411267
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4070 Issued in HI
Practice address
599 Farrington Hwy Ste 102
Kapolei, HI 96707-2028
Phone
(808) 674-1142
Fax
(808) 674-1143
NPI assigned
Jul 8, 2015
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 PT-4070 HI Primary
Physical Therapist 225100000X 42664 CA

Addresses

Primary practice location

599 Farrington Hwy Ste 102
Kapolei, HI 96707-2028

Mailing address

599 Farrington Hwy Ste 102
Kapolei, HI 96707-2028
Phone (808) 674-1142

Other practice location 1

725 Kapiolani Blvd Ste C103
Honolulu, HI 96813-6027
Phone (808) 674-1142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123001884 HI Practitioner - Physical Therapist in Private Practice 8729413638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Sports Analysis LLCGroup PAC ID 1850602418, 8 clinicians

Practice addresses (Care Compare)

599 Farrington Hwy
Suite 102
Kapolei, HI 96707-2028
Phone (808) 674-1142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Sports Analysis LLC CurrentSince Mar 1, 2020 Accepting new patients
Core Sports Honolulu LLC CurrentSince May 1, 2020 Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 1800
Honolulu, HI 96814
Phone (808) 545-2800

725 Kapiolani Blvd
Ste C103
Honolulu, HI 96813
Phone (808) 596-4650

599 Farrington Hwy
Ste 102
Kapolei, HI 96707
Phone (808) 674-1142

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

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1225411267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Kapiolani Blvd Ste C103",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968136027",
            "country_code": "US",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRAGA",
        "first_name": "EVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4070",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.