Individual provider Active NPI

Kanani Joshua Leite-Ah Yo, DPT

  • Physical Therapist
  • Hilo, HI
National Provider Identifier
1427484153
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3663 Issued in HI
Practice address
261 Waianuenue Ave
Hilo, HI 96720-2438
Phone
(805) 450-0618
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 3663 HI Primary

Addresses

Primary practice location

261 Waianuenue Ave
Hilo, HI 96720-2438

Mailing address

135 Kahoa PL
Hilo, HI 96720-2216
Phone (805) 450-0618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181121000098 HI Practitioner - Physical Therapist in Private Practice 5294089611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Physical Therapy and Chiropractic Clinic IncGroup PAC ID 2961526165, 3 clinicians

Practice addresses (Care Compare)

261 Waianuenue Ave
Hilo, HI 96720-2438
Phone (808) 961-2491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3663HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Physical Therapy & Chiropractic Clinic, Inc. Physical Therapist CurrentSince Oct 5, 2018 Accepting new patients

Locations

261 Waianuenue Ave
Hilo, HI 96720
Phone (808) 961-2491

Organizations & group practices 1

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1427484153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KAHOA PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202216",
            "telephone_number": "805-450-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202438",
            "telephone_number": "805-450-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITE-AH YO",
        "first_name": "KANANI",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.