Individual provider Active NPI

Connor R. Hyde, P.T.

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1275016602
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4637 Issued in HI
Practice address
876 Curtis St Apt 1502
Honolulu, HI 96813-5154
Phone
(603) 582-0177
NPI assigned
Sep 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT-4637 HI Primary

Addresses

Primary practice location

876 Curtis St Apt 1502
Honolulu, HI 96813-5154

Mailing address

876 Curtis St Apt 1502
Honolulu, HI 96813-5154
Phone (603) 582-0177

Other identifiers 1

IdentifierTypeStateIssuer
99-0353213OtherHIUHA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127002997 HI Practitioner - Physical Therapist in Private Practice 1355685686 Reassigns benefits to 4 organizations
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Physical Therapy & Wellness LLC Single Specialty CurrentSince Apr 30, 2023 Accepting new patients
Jaco Rehab Honolulu Limited Partnership Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Jaco Rehab Kapolei Limited Partnership Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Jaco Rehab Mililani Limited Partnership Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Jaco Rehab Waikele Limited Partnership Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients

Locations

1401 S Beretania St
Ste 550
Honolulu, HI 96814
Phone (808) 591-2244

599 Farrington Hwy
Ste 206
Kapolei, HI 96707
Phone (301) 421-1125

95-1105 Ainamakua Dr
Ste 203
Mililani, HI 96789
Phone (209) 770-6581

94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947

Organizations & group practices 5

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1275016602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 CURTIS ST APT 1502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135154",
            "telephone_number": "603-582-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 CURTIS ST APT 1502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135154",
            "telephone_number": "603-582-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "CONNOR",
        "middle_name": "R.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "99-0353213",
            "state": "HI"
        }
    ],
    "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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.