Organization Active NPI

Pure Motion Physical Therapy LLC

  • Physical Therapist
  • Kapaa, HI
National Provider Identifier
1295390300
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PURE MOTION PHYSICAL THERAPY LLC
Practice address
1427 Hono Ohala PL
Kapaa, HI 96746-8727
Phone
(808) 635-5026
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Dr. Romeo Randon Guerpo Jr., PT, DPTNPI 1861725657
Title
President
Phone
(808) 635-5026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1427 Hono Ohala PL
Kapaa, HI 96746-8727

Mailing address

PO Box 662004
Lihue, HI 96766-7004
Phone (808) 635-5026

Other practice location 1

4-1558 Kuhio Hwy Ste 4
Kapaa, HI 96746-1856
Phone (808) 635-5026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626002985 HI Part B Supplier - Clinic/Group Practice 6901130897 Receives reassigned benefits from 1 practitioner
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory

Locations

3-3100 Kuhio Hwy
Ste C14
Lihue, HI 96766
Phone (808) 635-5026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1295390300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662004",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967667004",
            "telephone_number": "808-635-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 HONO OHALA PL",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967468727",
            "telephone_number": "808-635-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4-1558 Kuhio Hwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Kapaa",
            "state": "HI",
            "postal_code": "967461856",
            "country_code": "US",
            "telephone_number": "808-635-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "GUERPO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "RANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-635-5026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "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": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.