Individual provider Active NPI

Carol L Komai, MPT

  • Physical Therapist
  • Kapolei, HI
National Provider Identifier
1457439929
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1617 Issued in HI
Practice address
1001 Kamokila Blvd
Suite 114 JCB
Kapolei, HI 96707-2014
Phone
(808) 674-9595
Fax
(808) 674-9696
NPI assigned
Nov 1, 2006
Last updated
Aug 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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 1617 HI Primary

Addresses

Primary practice location

1001 Kamokila Blvd
Suite 114 JCB
Kapolei, HI 96707-2014

Mailing address

1001 Kamokila Blvd
Suite 114 JCB
Kapolei, HI 96707-2014
Phone (808) 674-9595

Other identifiers 1

IdentifierTypeStateIssuer
50088601MedicaidHI

Other names 1

  • Carol L Cabaldon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317002455 CA Practitioner - Physical Therapist in Private Practice 4183680945 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Health Physical Therapy Inc.Group PAC ID 3476581109, 7 clinicians
Micheletti Physical Therapy P CGroup PAC ID 8921409947, 4 clinicians

Practice addresses (Care Compare)

2850 Artesia Blvd
Suite 207
Redondo Beach, CA 90278-3413
Phone (310) 371-4774

3858 W Carson St
Suite 126
Torrance, CA 90503-6722
Phone (424) 390-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1617HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Physical Therapy Inc. Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Micheletti Physical Therapy P.C. Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Rehab Specialists, Inc Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Warfighter's Clinic Past Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Kiley Chiropractic PastSince Aug 11, 2025 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Locations

4560 Admiralty Way
Ste 300
Marina del Rey, CA 90292

2850 Artesia Blvd
Ste 207
Redondo Beach, CA 90278
Phone (310) 371-4774

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

3858 W Carson St
Ste 126
Torrance, CA 90503
Phone (424) 390-4010

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1457439929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 114 JCB",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 114 JCB",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAI",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50088601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CABALDON",
            "middle_name": "L",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.