Active NPI
Joane Mercado Arceo
- Physical Therapy Assistant
- Honolulu, HI
National Provider Identifier
1477288785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 644-0
- Practice address
- 2459 10TH Ave
Honolulu, HI 96816-3098 - Phone
- (808) 737-2555
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 644-0 | HI | Primary |
Addresses
Primary practice location
2459 10TH Ave
Honolulu, HI 96816-3098
Mailing address
150 Kapahulu Ave # 1009
Honolulu, HI 96815-4097
Phone (206) 939-1226
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
| License | State | Type | Specialty |
|---|---|---|---|
| 644-0 | HI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1477288785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 KAPAHULU AVE # 1009",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968154097",
"telephone_number": "206-939-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 10TH AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163098",
"telephone_number": "808-737-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCEO",
"first_name": "JOANE",
"middle_name": "MERCADO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "HI",
"license": "644-0",
"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 Jul 20, 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.