Naomi Kinoshita Wada, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT-98 Issued in HI

Practice address

99-128 Aiea Heights Dr
Suite 207
Aiea, HI 96701-3925

Phone

(808) 487-0487

NPI assigned

Sep 19, 2008

Last updated

Sep 19, 2008By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stayfit Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Aiea, HI
  • NPI 1740488006
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1467602086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 AUPAKA ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821215",
            "telephone_number": "808-456-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "SUITE 207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-487-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADA",
        "first_name": "NAOMI",
        "middle_name": "KINOSHITA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "PT-98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jherald Vivit, LMT- 16433
• Katherine Anne Vongphrachanh
• Toukta Lanoy Vongsy, RN
• Kimberly Vu, MD
• Charissa Waalani
• Maddison Wagner
• Angela K Wai, MD
• Walter M. Yamamoto, O.D.
• Walter Reed LLC
• Annabelle Walters

• Specialist in Aiea, HI
• Providers in Aiea, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.