Bert Tsuneo Momohara, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1306 Issued in HI

Practice address

850 Kamehameha Hwy
Suite 167C
Pearl City, HI 96782-2656

Phone

(808) 454-2285

Fax

(808) 454-1334

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CKW Star Inc.Group PAC ID 5294626982, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CKW Star Inc.

  dba Star Physical Therapy

  • Physical Therapist
  • Pearl City, HI
  • NPI 1679590517
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1326362070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 167C",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822656",
            "telephone_number": "808-454-2285",
            "fax_number": "808-454-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 167C",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822656",
            "telephone_number": "808-454-2285",
            "fax_number": "808-454-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOHARA",
        "first_name": "BERT",
        "middle_name": "TSUNEO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol E Minn, M.D.
• Shalini Mishra, M.D.
• Steven Miyamoto
• Keriann Miyashiro
• Stacey Miyatake
• Makiko Moore
• Jana Murakami, O.D.
• Mark Muraki
• Bianca Murphy
• Myron 'Skip' Kawakami D.D.S., Inc.

• Physical Therapist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.