Jennifer Taylor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4627 Issued in HI

Practice address

74-517 Honokohau St
Kailua Kona, HI 96740-2715

Phone

(833) 833-3333

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaiser Foundation Health Plan IncGroup PAC ID 1850205360, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kaiser Foundation Health Plan Inc

  dba Kaiser Honolulu Clinic Radiology

  • Radiology Clinic/Center
  • Honolulu, HI
  • NPI 1063515567
  Medicare reassignment Care Compare group NPD
• Club Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
  • NPI 1811092406

  Physical Therapist

  Medicare reassignment NPD
• Kaiser Foundation Health Plan Inc

  dba Kaiser Hawaii Kai Clinic Laboratory

  • Clinical Medical Laboratory
  • Honolulu, HI
  • NPI 1851306385
  NPD
• Kaiser Foundation Health Plan, Inc

  dba Kahuku Clinic

  • Rural Health Clinic/Center
  • Kahuku, HI
  • NPI 1245773936
  NPD
• Paramus Orthopedic Physical Therapy

  • Preferred Provider Organization
  • Paramus, NJ
  • NPI 1588114680
  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1235671397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-517 HONOKOHAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402715",
            "telephone_number": "808-432-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-517 HONOKOHAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402715",
            "telephone_number": "833-833-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01683900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Tama, PT
• Sherina Joy Tatum, CPM
• Amanda Tavarez
• Diana Taveras
• Gabrielle Renee Parilla Taylor, RDN
• Melody Tobias Taylor
• Sheri L Templeton, LMT
• Leah Etsuko Teramoto
• Karri Lynn Teshima Jr., LMT
• Mary Lynn Teshima, M.T.

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.