Justin A Rietfors, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2543 Issued in HI

Practice address

1090 Keolu Dr Ste 104
Kailua, HI 96734-3871

Phone

(808) 262-2292

Fax

(808) 262-2293

NPI assigned

Sep 11, 2006

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Physical Therapy, LLCGroup PAC ID 7416119698, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team Physical Therapy LLC

  dba Enchanted Lake Physical Therapy

  • Physical Therapist
  • Kailua, HI
  • NPI 1942598883
  Medicare reassignment Care Compare group NPD
• Wahiawa Rehab Services Inc

  dba First Physical & Functional Rehab at Wahiawa

  • Physical Therapist
  • Wahiawa, HI
  • NPI 1306919964
  NPD (past)
• Waipahu Physical Therapy, Inc

  • Physical Therapist
  • Waipahu, HI
  • NPI 1255410650
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1457455479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341440",
            "telephone_number": "808-262-2292",
            "fax_number": "808-262-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 KEOLU DR STE 104",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343871",
            "telephone_number": "808-262-2292",
            "fax_number": "808-262-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETFORS",
        "first_name": "JUSTIN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2543",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittny Nicole Reynolds
• William Rezentes III, PH.D.
• Gemma Rhodeside, M.A., BCBA
• Jeremy Fred Rice, ATC
• Suzanne N Rice, PSY.D.
• Karissa Riley
• Janiyah Nichelle Sanaa Ripley
• Caroline Rose Kealani Ritson, MD
• Vincent P. Ritson, M.D.
• Victor Riveiro Cruz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.