Organization Active NPI

Imoto Mobile Therapy LLC

Doing business as Imoto Physical Therapy

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1487137642
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IMOTO MOBILE THERAPY LLC
Doing business as
Imoto Physical Therapy
Practice address
120 Kaiulani Ave # Kw1011
Honolulu, HI 96815-6203
Phone
(808) 304-6676
Fax
(808) 800-2654
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Youhei Imoto, PTNPI 1992948871
Title
Owner
Phone
(808) 825-0755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

120 Kaiulani Ave # Kw1011
Honolulu, HI 96815-6203

Mailing address

PO Box 89097
Honolulu, HI 96830-7097
Phone (808) 304-6676

Other names 2

  • Imoto Physical Therapy Doing business as
  • Hawaii Rehab and Physical Therapy LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230518001893 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537525407 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

120 Kaiulani Ave
Ste 10AND11
Honolulu, HI 96815
Phone (808) 304-6676

120 Kaiulani Ave
Ste 10811
Honolulu, HI 96815

120 Kaiulani Ave
Ste KW10811
Honolulu, HI 96815

120 Kaiulani Ave
#10811
Honolulu, HI 96815

120 Kaiulani Ave
#1811
Honolulu, HI 96815

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1487137642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89097",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968307097",
            "telephone_number": "808-304-6676",
            "fax_number": "808-800-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KAIULANI AVE # KW1011",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156203",
            "telephone_number": "808-304-6676",
            "fax_number": "808-800-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMOTO MOBILE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "IMOTO",
        "authorized_official_first_name": "YOUHEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-825-0755",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imoto Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawaii Rehab and Physical Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.