Carl John Dela Pena, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5828 Issued in HI

Practice address

725 Kapiolani Blvd Ste C103
Honolulu, HI 96813-6027

Phone

(808) 674-1142

Fax

(808) 674-1143

NPI assigned

Dec 12, 2023

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

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Sports Honolulu LLCGroup PAC ID 7517397367, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Core Sports Honolulu LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1538792742
  Medicare reassignment Care Compare group NPD
• Core Sports Analysis LLC

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1043600232
  Medicare reassignment NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1437927191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136027",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Farrington Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072028",
            "country_code": "US",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA PENA",
        "first_name": "CARL JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessel Lyn Cablay Dela Cruz, PHARMD
• Joseph Gary Dela Cruz, M.D.
• Kelsie Reiko Nani Dela Cruz
• Lorlyn F Dela Cruz, RN
• Maria Excellsis Dela Cruz, PA-C
• Shyanne Santos Dela Vega, DNP, APRN-RX, FNP-BC
• Marie Angeline Delabarrera, LMHC
• Janine Katins Delacourt, PA-C
• Kara-Marie Hack Delaney, M.D.
• Glenn R Delcarmen, MD

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.