Active NPI
Kenton Minoru Kong, DPT
- Physical Therapist
- Aiea, HI
National Provider Identifier
1316502412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339 - Phone
- (808) 450-9250
- NPI assigned
- May 3, 2019
- Last updated
- May 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339
Mailing address
95-652 Lauawa St
Mililani, HI 96789-2928
Other practice location 1
916A Kilani Ave
Wahiawa, HI 96786-2102
Phone (808) 621-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1316502412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-652 LAUAWA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-211 PALI MOMI ST STE 707",
"city": "AIEA",
"state": "HI",
"postal_code": "967014339",
"telephone_number": "808-450-9250"
}
],
"practiceLocations": [
{
"address_1": "916A Kilani Ave",
"address_purpose": "LOCATION",
"city": "Wahiawa",
"state": "HI",
"postal_code": "967862102",
"country_code": "US",
"telephone_number": "808-621-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONG",
"first_name": "KENTON",
"middle_name": "MINORU",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.