NPIMap

Organization Active NPI

Pacific Sports & Rehabilitation Center, LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1275740326
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PACIFIC SPORTS & REHABILITATION CENTER, LLC
Practice address
1481 South King St.Reet
327
Honolulu, HI 96814-2604
Phone
(808) 955-9000
Fax
(808) 955-9002
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. Victor Mitsuo Yamamoto, LMT
Title
Owner Manager
Phone
(808) 955-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1481 South King St.Reet
327
Honolulu, HI 96814-2604

Mailing address

1481 South King St.Reet
327
Honolulu, HI 96814-2604
Phone (808) 955-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1275740326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 SOUTH KING ST.REET",
            "address_2": "327",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142604",
            "telephone_number": "808-955-9000",
            "fax_number": "808-955-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 SOUTH KING ST.REET",
            "address_2": "327",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142604",
            "telephone_number": "808-955-9000",
            "fax_number": "808-955-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPORTS & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "MITSUO",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "808-955-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.