Organization Active NPI

Miyaki Healthcare Services

Doing business as Pono Physical Therapy

  • Physical Therapy Assistant
  • Kahului, HI
National Provider Identifier
1376119057
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
MIYAKI HEALTHCARE SERVICES
Doing business as
Pono Physical Therapy
Practice address
95 Lono Ave Ste 102
Kahului, HI 96732-1610
Phone
(808) 572-6223
Fax
(808) 873-8646
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
William Barnes, PTANPI 1225104904
Title
Owner
Phone
(808) 572-6223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X Primary

Addresses

Primary practice location

95 Lono Ave Ste 102
Kahului, HI 96732-1610

Mailing address

95 Lono Ave Ste 102
Kahului, HI 96732-1610
Phone (808) 572-6223

Other names 1

  • Pono Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

95 Lono Ave
Ste 102
Kahului, HI 96732
Phone (808) 572-6223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1376119057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LONO AVE STE 102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321610",
            "telephone_number": "808-572-6223",
            "fax_number": "808-873-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LONO AVE STE 102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321610",
            "telephone_number": "808-572-6223",
            "fax_number": "808-873-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIYAKI HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-572-6223",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pono Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.