Individual provider Active NPI

Taylor Fong, OTD, OTR/L

  • Occupational Therapist
  • Honolulu, HI
National Provider Identifier
1447996384
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2220 Issued in HI
Practice address
725 Kapiolani Blvd Ste C206
Honolulu, HI 96813-6024
Phone
(808) 596-0099
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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-2220 HI Primary

Addresses

Primary practice location

725 Kapiolani Blvd Ste C206
Honolulu, HI 96813-6024

Mailing address

1170 Kaumailuna PL
Honolulu, HI 96817-1516
Phone (808) 232-8732

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-2220HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC CurrentSince May 16, 2022 Accepting new patients
Speech Pathology of Hawaii LLC CurrentSince May 16, 2022 Accepting new patients

Locations

725 Kapiolani Blvd
Ste C206
Honolulu, HI 96813
Phone (808) 596-0099

Organizations & group practices 2

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1447996384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 KAUMAILUNA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171516",
            "telephone_number": "808-232-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136024",
            "telephone_number": "808-596-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 11, 2022; 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.