Individual provider Active NPI

Peyton Lee, PT, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1346904265
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1401 S Beretania St Ste 550
Honolulu, HI 96814-1880
Phone
(808) 381-8947
Fax
(800) 586-4356
NPI assigned
Oct 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X HI Primary

Addresses

Primary practice location

1401 S Beretania St Ste 550
Honolulu, HI 96814-1880

Mailing address

1401 S Beretania St Ste 550
Honolulu, HI 96814-1880
Phone (808) 381-8947

Other practice location 1

599 Farrington Hwy Ste 206
Kapolei, HI 96707-2028
Phone (808) 381-8947

Other practice location 2

94-849 Lumiaina St Unit 1
Waipahu, HI 96797-5677
Phone (808) 381-8947

Other practice location 3

95-1105 Ainamakua Dr Ste 203
Mililani, HI 96789-6313
Phone (808) 381-8947

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jaco Rehab Honolulu Limited Partnership Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Jaco Rehab Mililani Limited Partnership Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Jaco Rehab Kapolei Limited Partnership Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Jaco Rehab Waikele Limited Partnership Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients

Locations

1401 S Beretania St
Ste 550
Honolulu, HI 96814
Phone (808) 591-2244

599 Farrington Hwy
Ste 206
Kapolei, HI 96707
Phone (301) 421-1125

95-1105 Ainamakua Dr
Ste 203
Mililani, HI 96789
Phone (209) 770-6581

94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1346904265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Farrington Hwy Ste 206",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072028",
            "country_code": "US",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-849 Lumiaina St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967975677",
            "country_code": "US",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95-1105 Ainamakua Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967896313",
            "country_code": "US",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "PEYTON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "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 Mar 14, 2022; 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.