Keola Mobile Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KEOLA MOBILE THERAPY, LLC

Practice address

3457 Pawaina St
Honolulu, HI 96822-1356

Phone

(808) 779-2744

Fax

(808) 855-6804

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Uyeunten, DPT, MBA

Title

Owner

Phone

(808) 779-2744

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1245832021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 PAWAINA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221356",
            "telephone_number": "808-779-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 PAWAINA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221356",
            "telephone_number": "808-779-2744",
            "fax_number": "808-855-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOLA MOBILE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "UYEUNTEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-779-2744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent S Yamamoto MD LLC
• Kent Sato DMD
• Cynthia K Kenui, M.A.
• Mary Kenui, RN
• Kenyua N. Johnson FNP-BC, LLC (Waiola Medical)
• Chelsey Keola, PA-C
• Ker-Ming Chang M D Inc
• Andrea Kern, CRNA
• Dana Kern
• Kenneth H Kern, MD

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.