Derrick Keiji Ishihara, P.T.
Individual provider Active NPI Physical Therapist · Honolulu, HI
NPI 1306813639 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1306813639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT - 554 (HI)
- Practice address
- 1314 S King St
Ste. #1451
Honolulu, HI 96814-1956 - Phone
- (808) 593-2610
- Fax
- (808) 591-9420
- NPI assigned
- Mar 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Hawaii Therapy Inc
Practice addresses (Care Compare)
1314 S King St
Suite 1455
Honolulu, HI 96814-1948
Phone (808) 521-8500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000908 | HI | Practitioner - Physical Therapist in Private Practice | 9931097995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT - 554 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Hawaii Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Herbert K M Yee PT LLC | Physical Therapist | Past |
Accepting new patients |
| Island Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
Locations
1314 S King St
Ste 1455
Honolulu, HI 96814
Phone (808) 348-3763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT - 554 | HI | Yes |
Addresses
Primary practice location
1314 S King St
Ste. #1451
Honolulu, HI 96814-1956
Mailing address
1314 S King St
Ste. #1451
Honolulu, HI 96814-1956
Phone (808) 593-2610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01161501 | Medicaid | HI |
Other providers in Honolulu, HI
- Harrison Masao Ishida
- Jay T. Ishida
- Jiro Jerry Ishida
- Michelle Malia Ishida
- Brian K Ishidera
- Lissa Ishihara
- Rhys Ishihara
- Clyde H. Ishii Jr.
- Kilnani Ishii
- Blake C Ishikawa
All providers in Honolulu, HI · Physical Therapist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.