Active NPI
Walk & Roll Physical Therapy, LLC
- Physical Therapist
- Pearl City, HI
National Provider Identifier
1225887573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WALK & ROLL PHYSICAL THERAPY, LLC
- Practice address
- 96-1173 Waihona Street
Pearl City, HI 96782 - Phone
- (808) 208-3555
- NPI assigned
- May 17, 2024
- Last updated
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taryn Otagaki
- Title
- Manager
- Phone
- (808) 927-3539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
96-1173 Waihona Street
Pearl City, HI 96782
Mailing address
2855 East Manoa Road
Suite 105
Honolulu, HI 96822
Phone (808) 208-3555
National Provider Directory
National Provider DirectoryLocations
96-1173 Waihona St
Pearl City, HI 96782
Phone (808) 208-3555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Honolulu, HI
- NPI 1962721621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1225887573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 EAST MANOA ROAD",
"address_2": "SUITE 105",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96822",
"telephone_number": "808-208-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96-1173 WAIHONA STREET",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "96782",
"telephone_number": "808-208-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALK & ROLL PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"status": "A",
"authorized_official_last_name": "OTAGAKI",
"authorized_official_first_name": "TARYN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "808-927-3539"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl City, HI
- Jessica Rose Vo, DMD
- Teresa Hien Vo, D.O.
- Waianae District Comprehensive Health and Hospital Board, Incorporated
- Wal-Mart Stores, Inc (Vision Center 30-5274)
- Walk & Roll Physical Therapy LLC
- Walmart Inc. (Walmart Pharmacy 10-5274)
- Curt K Watanabe, D.P.T.
- Liane Junko Watanabe, DPM
- Heather M Wawrzenski, O.D.
- Stephen Robert Way, SOIDC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.