Bert Chiyotano Tada, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1778 Issued in HI

Practice address

3465 Waialae Avenue
Suite 240
Honolulu, HI 96816

Phone

(808) 753-7617

Fax

(808) 735-3556

NPI assigned

Sep 6, 2006

Last updated

Oct 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Breakthrough Rehab, Inc.

  • Physical Therapist
  • Honolulu, HI
  • NPI 1851483382
  Medicare reassignment NPD Authorized official
• Breakthrough Rehab, Inc.

  • Customized Equipment (DME)
  • Honolulu, HI
  • NPI 1992904981
  NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1275636581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 WAIALAE AVENUE",
            "address_2": "SUITE 240",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-753-7617",
            "fax_number": "808-735-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 WAIALAE AVENUE",
            "address_2": "SUITE 240",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-753-7617",
            "fax_number": "808-735-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADA",
        "first_name": "BERT",
        "middle_name": "CHIYOTANO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell G Tacata, M.D.
• Andrea Tachella
• Naomi Tachera
• Yukako Tachibana, M.D.
• Loren Tacker
• Dayle Mari Tada, OTR
• Kelsie Tada
• Kendall Tada, DDS, MS
• Troy Alan Tada, D.O
• Carl Joseph Tadaki, M.D.

• 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 Oct 27, 2011; 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.