Active NPI
Peyton Lee, PT, DPT
- Physical Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaco Rehab Honolulu Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Jaco Rehab Mililani Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Jaco Rehab Kapolei Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Jaco Rehab Waikele Limited Partnership | Physical Therapist | Current | 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.
-
- Physical Therapist
- Honolulu, HI
- NPI 1265073878
-
- Physical Therapist
- Kapolei, HI
- NPI 1437790052
-
- Physical Therapist
- Mililani, HI
- NPI 1700427325
-
- Physical Therapist
- Waipahu, HI
- NPI 1629619234
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.