Individual provider Active NPI

William Kealoha Jr., MPH, OTR/L

  • Occupational Therapist
  • Honolulu, HI
National Provider Identifier
1396989224
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-261 Issued in HI
Practice address
666 Prospect St Apt 201
Honolulu, HI 96813-1902
Phone
(808) 216-2050
NPI assigned
Apr 22, 2009
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-261 HI Primary

Addresses

Primary practice location

666 Prospect St Apt 201
Honolulu, HI 96813-1902

Mailing address

666 Prospect St Apt 201
Honolulu, HI 96813-1902
Phone (808) 216-2050

Other identifiers 1

IdentifierTypeStateIssuer
587007OtherNBCOT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-261HIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1396989224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PROSPECT ST APT 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131902",
            "telephone_number": "808-216-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PROSPECT ST APT 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131902",
            "telephone_number": "808-216-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALOHA",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPH, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "587007",
            "state": null
        }
    ],
    "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 7, 2014; 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.