Individual provider Active NPI

June Marie Sy, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1255584728
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5568 Issued in HI
Practice address
4211 Waialae Ave Ste 303
Honolulu, HI 96816-5316
Phone
(845) 309-5508
NPI assigned
Oct 28, 2008
Last updated
Mar 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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 PT5568 HI Primary
Physical Therapist 225100000X 023965-1 NY

Addresses

Primary practice location

4211 Waialae Ave Ste 303
Honolulu, HI 96816-5316

Mailing address

4211 Waialae Ave Ste 303
Honolulu, HI 96816-5316
Phone (845) 309-5508

Other practice location 1

99-128 Aiea Heights Dr Ste 207
Aiea, HI 96701-3968
Phone (808) 487-0487

Other practice location 2

3680 Hill Blvd
CareMount Medical, PC
Jefferson Valley, NY 10535
Phone (914) 241-1050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223002812 HI Practitioner - Physical Therapist in Private Practice 5991971509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
System Physical Therapy CorpGroup PAC ID 3173067717, 2 clinicians

Practice addresses (Care Compare)

4211 Waialae Ave
Suite 303
Honolulu, HI 96816-5316
Phone (808) 501-0201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5568HIMDPhysical Therapist
023965-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stayfit Physical Therapy LLC CurrentSince Jan 17, 2023 Accepting new patients
System Physical Therapy Corp. Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 207
Aiea, HI 96701
Phone (808) 487-0487

4211 Waialae Ave
Ste 303
Honolulu, HI 96816
Phone (808) 501-0201

1001 Kamokila Blvd
Ste 114
Kapolei, HI 96707
Phone (808) 674-0500

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1255584728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165316",
            "telephone_number": "845-309-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165316",
            "telephone_number": "845-309-5508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99-128 Aiea Heights Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967013968",
            "country_code": "US",
            "telephone_number": "808-487-0487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3680 Hill Blvd",
            "address_2": "CareMount Medical, PC",
            "address_purpose": "LOCATION",
            "city": "Jefferson Valley",
            "state": "NY",
            "postal_code": "10535",
            "country_code": "US",
            "telephone_number": "914-241-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SY",
        "first_name": "JUNE MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT5568",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023965-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.