Individual provider Active NPI

Julie Kurosawa, PT

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1467689182
Registry record updated Jun 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
895 Issued in HI
Practice address
354 Kaelepulu Dr Apt D
Kailua, HI 96734-3355
Phone
(808) 277-6167
Fax
(808) 261-6440
NPI assigned
Jun 20, 2009
Last updated
Jun 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 895 HI Primary

Addresses

Primary practice location

354 Kaelepulu Dr Apt D
Kailua, HI 96734-3355

Mailing address

354 Kaelepulu Dr Apt D
Kailua, HI 96734-3355
Phone (808) 277-6167

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
895HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warfighter's Clinic PastSince Oct 20, 2010 Accepting new patients
Hawaii's Impac, LLC Physical Therapist Past Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1467689182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 KAELEPULU DR APT D",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343355",
            "telephone_number": "808-277-6167",
            "fax_number": "808-261-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 KAELEPULU DR APT D",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343355",
            "telephone_number": "808-277-6167",
            "fax_number": "808-261-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROSAWA",
        "first_name": "JULIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.