Organization Active NPI

Hozaki Physical Therapy, Inc.

  • Physical Therapist
  • Wailuku, HI
National Provider Identifier
1366469082
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
896 Issued in HI
Legal business name
HOZAKI PHYSICAL THERAPY, INC.
Practice address
1721 Wili PA Loop Ste 102 B
Wailuku, HI 96793-1278
Phone
(808) 249-8384
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Brian Haruo Hozaki, P.T.
Title
President
Phone
(808) 281-0618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 896 HI Primary

Addresses

Primary practice location

1721 Wili PA Loop Ste 102 B
Wailuku, HI 96793-1278

Mailing address

1721 Wili PA Loop Ste 102 B
Wailuku, HI 96793-1278
Phone (808) 249-8384

Other identifiers 3

IdentifierTypeStateIssuer
055076-02MedicaidHI
B6345-9OtherHIHMSA
B6345-9OtherHIHMSA 65C PLUS

National Provider Directory

National Provider Directory

Locations

1721 Wili Pa Loop
Ste 102B
Wailuku, HI 96793
Phone (808) 249-8384

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1366469082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 WILI PA LOOP STE 102 B",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931278",
            "telephone_number": "808-249-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 WILI PA LOOP STE 102 B",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931278",
            "telephone_number": "808-249-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOZAKI PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOZAKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HARUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-281-0618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055076-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B6345-9",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C PLUS",
            "identifier": "B6345-9",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.