John T Mizoguchi, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT151 Issued in HI

Practice address

111 Hana Hwy Ste 107
Kahului, HI 96732-2300

Phone

(808) 877-8717

Fax

(808) 877-8718

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical & Industrial Rehabilitation Clinic of Oahu LLC

  • Occupational Therapist
  • Honolulu, HI
  • NPI 1376959650
  Medicare reassignment NPD Authorized official
• Therapeutic Associates of Maui, LLC

  • Occupational Therapist
  • Kahului, HI
  • NPI 1285713354
  Medicare reassignment Authorized official
• Therapeutic Associates of Maui, LLC

  • Prosthetic/Orthotic Supplier
  • Kahului, HI
  • NPI 1639380264
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376654392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HANA HWY STE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322300",
            "telephone_number": "808-877-8717",
            "fax_number": "808-877-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANA HWY STE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322300",
            "telephone_number": "808-877-8717",
            "fax_number": "808-877-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZOGUCHI",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52704601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mina Pharmacy LTC LLC (Mina Pharmacy #14)
• Miyaki Healthcare Services (Pono Physical Therapy)
• Zen Sei Miyashiro, PT, DPT
• Alysha Miyazono, RBT
• Karli Kuulani Oliveira Miyazono, RN
• Cheryl Monten-Tsalapatanis
• Carla D Moore
• Charles Sigfredo Morales, LMT
• Jazmine Alexis Moreno, DPT
• Rebecca Jane Moriconi, LSW

• Occupational Therapist in Kahului, HI
• Providers in Kahului, HI by specialty
• Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.