Individual provider Active NPI

Jennifer Kelii, P.T.

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1285861963
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2209 Issued in HI
Practice address
932 Ward Ave
Honolulu, HI 96814-2131
Phone
(808) 381-8947
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2209 HI Primary

Addresses

Primary practice location

932 Ward Ave
Honolulu, HI 96814-2131

Mailing address

2005 Iholena St
Honolulu, HI 96817-2104
Phone (631) 335-7351

Other practice location 1

1401 S Beretania St Ste 610
Honolulu, HI 96814-1873
Phone (808) 691-4211

Other practice location 2

1401 S Beretania St Ste 700
Honolulu, HI 96814-1874
Phone (808) 691-4211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000338 HI Practitioner - Physical Therapist in Private Practice 5597894634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1401 S Beretania St
Suite 610
Honolulu, HI 96814-1873
Phone (808) 691-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2209HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Aug 1, 2024 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1401 S Beretania St
Ste 610
Honolulu, HI 96814
Phone (808) 521-8165

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1401 S Beretania St
Ste 700
Honolulu, HI 96814
Phone (808) 691-4211

Organizations & group practices 1

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1285861963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 IHOLENA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172104",
            "telephone_number": "631-335-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 WARD AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142131",
            "telephone_number": "808-381-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Beretania St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141873",
            "country_code": "US",
            "telephone_number": "808-691-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Beretania St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141874",
            "country_code": "US",
            "telephone_number": "808-691-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELII",
        "first_name": "JENNIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2209",
            "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 Jul 3, 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.