Individual provider Active NPI

Julie Si on Moon-Franklin, MPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1487605044
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1843 Issued in HI
Practice address
320 Ward Ave
Suite 107
Honolulu, HI 96814-4001
Phone
(808) 597-1005
NPI assigned
May 16, 2006
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 PT 1843 HI Primary

Addresses

Primary practice location

320 Ward Ave
Suite 107
Honolulu, HI 96814-4001

Mailing address

320 Ward Ave
Suite 107
Honolulu, HI 96814-4001
Phone (808) 597-1005

Other identifiers 5

IdentifierTypeStateIssuer
520390OtherHIHMA INC
7576699OtherHIUHA
493180-04MedicaidHI
00E0217728OtherHIHMSA
H101566OtherHIMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000594 HI Practitioner - Physical Therapist in Private Practice 9335038991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1843HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2004 Accepting new patients
Quality Care Therapy, LLC Physical Therapist CurrentSince Jun 1, 2006 Accepting new patients
Kaheka Rehab Clinic, Inc. Physical Therapist Past Accepting new patients

Locations

320 Ward Ave
Ste 107
Honolulu, HI 96814
Phone (808) 597-1005

650 Iwilei Rd
Ste 265
Honolulu, HI 96817
Phone (808) 550-4774

201 Hamakua Dr
Ste C102
Kailua, HI 96734
Phone (808) 597-1005

95-1057 Ainamakua Dr
Ste F11
Mililani, HI 96789
Phone (808) 597-1005

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1487605044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARD AVE",
            "address_2": "SUITE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144001",
            "telephone_number": "808-597-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARD AVE",
            "address_2": "SUITE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144001",
            "telephone_number": "808-597-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON-FRANKLIN",
        "first_name": "JULIE",
        "middle_name": "SI ON",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA INC",
            "identifier": "520390",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "7576699",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493180-04",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00E0217728",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H101566",
            "state": "HI"
        }
    ],
    "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 Aug 23, 2021; 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.