Individual provider Active NPI

Doreen Yarson, MSPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1366684243
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1934 Issued in HI
Practice address
615 Piikoi St
Honolulu, HI 96814-3116
Phone
(808) 225-3478
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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 1934 HI Primary

Addresses

Primary practice location

615 Piikoi St
Honolulu, HI 96814-3116

Mailing address

4224 Waialae Ave # 352
Honolulu, HI 96816-5330
Phone (808) 225-3478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000811 HI Practitioner - Physical Therapist in Private Practice 6002871415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oahu Physio Therapy IncGroup PAC ID 9234230301, 7 clinicians

Practice addresses (Care Compare)

850 W Hind Dr
Suite 201
Honolulu, HI 96821-1845
Phone (808) 377-5605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1934HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oahu Physio Therapy Inc Physical Therapist CurrentSince Oct 16, 2020 Accepting new patients
Portner Orthopedic Rehabilitation Incorporated PastSince Sep 8, 2024 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients
THPT, Inc Physical Therapist Past Accepting new patients

Locations

850 W Hind Dr
Ste 201
Honolulu, HI 96821
Phone (808) 377-5605

Organizations & group practices 5

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1366684243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 WAIALAE AVE # 352",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165330",
            "telephone_number": "808-225-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-225-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARSON",
        "first_name": "DOREEN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1934",
            "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 24, 2009; 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.