Active NPI
Jacquelyn Victoria Vaughan Reiser, D.P.T.
- Orthopedic Physical Therapist
- Haleiwa, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3797
- Practice address
- 66-210 Kamehameha Hwy Ste a
Haleiwa, HI 96712-2408 - Phone
- (808) 726-3837
- Fax
- (808) 427-5174
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207975 | VA | |
| Orthopedic Physical Therapist | 2251X0800X | 3797 | HI | Primary |
Addresses
Primary practice location
66-210 Kamehameha Hwy Ste a
Haleiwa, HI 96712-2408
Mailing address
66-210 Kamehameha Hwy Ste a
Haleiwa, HI 96712-2408
Phone (808) 726-3837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
66-210 Kamehameha Hwy
Suite a
Haleiwa, HI 96712-2408
Phone (808) 726-3837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3797 | HI | MD | Internal Medicine Physician |
| 2305207975 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuleana Physical Therapy and Wellness | Physical Therapist | Current | Accepting new patients |
| Haleiwa Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| DRS. Clarence Y. Murata & Ken Nagahiro | Current | Accepting new patients |
Locations
66-210 Kamehameha Hwy
Ste A
Haleiwa, HI 96712
Phone (808) 637-5048
66-590 Kamehameha Hwy
Ste 2F
Haleiwa, HI 96712
Phone (808) 260-7210
66-590 Kamehameha Hwy
Ste 2F
Haleiwa, HI 96712
Phone (205) 572-1487
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Haleiwa, HI
- NPI 1346964129
-
dba Haleiwa Physical Therapy
- Physical Therapy Clinic/Center
- Haleiwa, HI
- NPI 1902264955
Physical Therapist
-
- Optometrist
- Haleiwa, HI
- NPI 1194917948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1336586106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66-210 KAMEHAMEHA HWY STE A",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967122408",
"telephone_number": "808-726-3837",
"fax_number": "808-427-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66-210 KAMEHAMEHA HWY STE A",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967122408",
"telephone_number": "808-726-3837",
"fax_number": "808-427-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISER",
"first_name": "JACQUELYN",
"middle_name": "VICTORIA VAUGHAN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207975",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "HI",
"license": "3797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.