Individual provider Active NPI

Robert Damien Makiya, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1447343132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1930 Issued in HI
Practice address
4603 Aliikoa Street
(Works From Patient'S Home)
Honolulu, HI 96821
Phone
(808) 732-4288
Fax
(808) 732-4288
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 1930 HI Primary

Addresses

Primary practice location

4603 Aliikoa Street
(Works From Patient'S Home)
Honolulu, HI 96821

Mailing address

4603 Aliikoa Street
Honolulu, HI 96821
Phone (808) 732-4288

Other identifiers 1

IdentifierTypeStateIssuer
00C00224588OtherHIHMSA (BC/BS)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000463 HI Practitioner - Physical Therapist in Private Practice 4284603838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Wilder Ave
Apt 8a
Honolulu, HI 96822-2758
Phone (808) 392-4603

4603 Aliikoa St
Honolulu, HI 96821-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1930HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SLR Therapy Services LLC Physical Therapist CurrentSince Aug 12, 2004 Accepting new patients

Locations

820 Mililani St
Ste 702A
Honolulu, HI 96813
Phone (808) 523-6393

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447343132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 ALIIKOA STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96821",
            "telephone_number": "808-732-4288",
            "fax_number": "808-732-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 ALIIKOA STREET",
            "address_2": "(WORKS FROM PATIENT'S HOME)",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96821",
            "telephone_number": "808-732-4288",
            "fax_number": "808-732-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIYA",
        "first_name": "ROBERT",
        "middle_name": "DAMIEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 1930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA (BC/BS)",
            "identifier": "00C00224588",
            "state": "HI"
        }
    ],
    "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 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.
  • 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.