Individual provider Active NPI

Ryan Placido Valenciano, DPT

  • Physical Therapist
  • Hilo, HI
National Provider Identifier
1285388538
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5915-0 Issued in HI
Practice address
474 Laukapu St Ste 2
Hilo, HI 96720-4477
Phone
(808) 339-7478
Fax
(808) 657-4980
NPI assigned
Feb 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0017959 CO
Physical Therapist 225100000X PT-5915-0 HI Primary

Addresses

Primary practice location

474 Laukapu St Ste 2
Hilo, HI 96720-4477

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other practice location 1

8 W Dry Creek Cir Ste 130
Littleton, CO 80120-4477
Phone (303) 955-8163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003149 HI Practitioner - Physical Therapist in Private Practice 4385030659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ke Ola Kino Physical Therapy, LLCGroup PAC ID 4183970460, 2 clinicians

Practice addresses (Care Compare)

474 Laukapu St
Suite 2
Hilo, HI 96720-4477
Phone (808) 339-7478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5915-0HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ke Ola Kino Physical Therapy, LLC Physical Therapist CurrentSince Aug 17, 2024 Accepting new patients
Rocky Mountain Health & Rehab, LLC Physical Therapist PastSince Nov 18, 2022 Accepting new patients

Locations

474 Laukapu St
Ste 2
Hilo, HI 96720
Phone (808) 339-7478

Organizations & group practices 2

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1285388538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 LAUKAPU ST STE 2",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204477",
            "telephone_number": "808-339-7478",
            "fax_number": "808-657-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 W Dry Creek Cir Ste 130",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204477",
            "country_code": "US",
            "telephone_number": "303-955-8163",
            "fax_number": "720-638-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIANO",
        "first_name": "RYAN",
        "middle_name": "PLACIDO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017959",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5915-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.