Individual provider Active NPI

Michael Angelo Sebastian Gaoiran, DPT

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1265247118
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6100 Issued in HI
Practice address
46-005 Kawa St Ste 211
Kaneohe, HI 96744-3838
Phone
(808) 235-6818
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6100 HI Primary

Addresses

Primary practice location

46-005 Kawa St Ste 211
Kaneohe, HI 96744-3838

Mailing address

91-1834 Kapeku Loop
Ewa Beach, HI 96706-7856
Phone (808) 589-6864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007002968 HI Practitioner - Physical Therapist in Private Practice 5193222131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Physio LLCGroup PAC ID 1951547645, 2 clinicians

Practice addresses (Care Compare)

46 -005 Kawa St
Suite 211
Kaneohe, HI 96744-3838
Phone (808) 551-7730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6100HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Physio LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

46-005 Kawa St
Ste 211
Kaneohe, HI 96744
Phone (808) 235-6818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1265247118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1834 KAPEKU LOOP",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967067856",
            "telephone_number": "808-589-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 211",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443838",
            "telephone_number": "808-235-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAOIRAN",
        "first_name": "MICHAEL ANGELO",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "6100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.