Kilauea Physical Therapy LLP

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KILAUEA PHYSICAL THERAPY LLP

Practice address

2430B Oka St
Kilauea, HI 96754-5332

Phone

(808) 320-0370

Fax

(808) 320-7014

NPI assigned

Jan 29, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Okamoto, PT, DPTNPI 1750514584

Title

Owner/Physical Therapist

Phone

(808) 469-6906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Kiyomi Okamoto, PT

  • Physical Therapist
  • Kilauea, HI
  • NPI 1750514584
  Medicare reassignment Care Compare group NPD Authorized official
• Noah Charles Brantley, DPT

  • Specialist
  • Kilauea, HI
  • NPI 1891114369
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1275395881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430B OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545332",
            "telephone_number": "808-320-0370",
            "fax_number": "808-320-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430B OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545332",
            "telephone_number": "808-320-0370",
            "fax_number": "808-320-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILAUEA PHYSICAL THERAPY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "OKAMOTO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-469-6906",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Kamisky
• Bethanne Kapansky Wright, PSY.D.
• Kauai Community Health Alliance (North Shore Wellness Center)
• Kauai Community Health Alliance (Hale Le'a Medicine)
• Therese M Kaye, LMT
• Elise Kutter, LMT
• Shyonna Vivian Landrum
• Larisa Nebre, LLC
• Nicole Elizabeth Larson, LMT
• Alexander E Latif, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.