Organization Active NPI

Walk & Roll Physical Therapy, LLC

  • Physical Therapist
  • Pearl City, HI
National Provider Identifier
1225887573
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.