Organization Active NPI

Ota Physical Therapy and Performance, LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1295633923
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OTA PHYSICAL THERAPY AND PERFORMANCE, LLC
Practice address
401 Atkinson Dr
Honolulu, HI 96814-4729
Phone
(808) 366-2129
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Authorized official

Name
Dr. Benjamin Ota, PT, DPT
Title
Doctor of Physical Therapy
Phone
(808) 366-2129

Specialties & licenses 1

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

Addresses

Primary practice location

401 Atkinson Dr
Honolulu, HI 96814-4729

Mailing address

98-1699 Kaahumanu St # 27a
Aiea, HI 96701-1810
Phone (808) 366-2129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793404800000",
    "number": "1295633923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1699 KAAHUMANU ST # 27A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011810",
            "telephone_number": "808-366-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ATKINSON DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144729",
            "telephone_number": "808-366-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTA PHYSICAL THERAPY AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "808-366-2129",
        "authorized_official_name_prefix": "Dr.",
        "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 Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; 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.