Physical & Industrial Rehabilitation Clinic of Oahu LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT151 Issued in HI

Legal business name

PHYSICAL & INDUSTRIAL REHABILITATION CLINIC OF OAHU LLC

Practice address

2810 Paa St
Building a
Honolulu, HI 96819-4429

Phone

(808) 524-5247

Fax

(808) 440-5251

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

John Mizoguchi, OTRNPI 1376654392

Title

Owner

Phone

(808) 524-5247

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 8

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

• Jason Edward Lau, DPT

  • Physical Therapist
  • Kailua, HI
  • NPI 1073221164
  Medicare reassignment Care Compare group NPD
• John T Mizoguchi, OTR

  • Occupational Therapist
  • Kahului, HI
  • NPI 1376654392
  Medicare reassignment NPD Authorized official
• Mason Wong

  • Physical Therapist
  • Honolulu, HI
  • NPI 1437015112
  Medicare reassignment Care Compare group NPD
• Chelsea Lura Lorenson, DPT

  • Physical Therapist
  • Fort Hood, TX
  • NPI 1780972091

  HI

  Medicare reassignment Care Compare group NPD
• Jane Cha Tateishi, PT, DPT

  • Physical Therapist
  • Waipahu, HI
  • NPI 1205333846
  Medicare reassignment NPD
• Hayley M Urabe, PT, DPT

  • Physical Therapist
  • Honolulu, HI
  • NPI 1609691187
  Medicare reassignment NPD
• Jennifer Scott

  • Massage Therapist
  • Honolulu, HI
  • NPI 1962861500
  NPD (past)
• Elisha Randall, DPT

  • Physical Therapist
  • Alexandria, VA
  • NPI 1720219546
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1376959650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "STE 820",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-524-5247",
            "fax_number": "808-440-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 PAA ST",
            "address_2": "BUILDING A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194429",
            "telephone_number": "808-524-5247",
            "fax_number": "808-440-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL & INDUSTRIAL REHABILITATION CLINIC OF OAHU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "MIZOGUCHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-524-5247",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu Y Phillips, DAC, DACHM, LAC, LMT
• Erisa Philpot, RN
• Jonathan M Philpott, MD
• Phoenix One Enterprises, Inc.
• Physiatry and Rehabilitation Services, LLP
• Physical Therapy Associates, LLC
• Physical Therapy Services LLC
• Physician Management Services of Hawaii, LLC
• Physician Providers, Inc.
• Physicians' Anesthesia Service, Inc.

• Occupational Therapist in Honolulu, HI
• Providers in Honolulu, 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 7, 2014; 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.