Individual provider Active NPI

Katherine Pulido

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1518611839
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5329 Issued in HI
Practice address
45-259 Waikalua Rd
Kaneohe, HI 96744-3104
Phone
(808) 233-5643
NPI assigned
Feb 6, 2022
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5329 HI Primary
Pediatric Physical Therapist 2251P0200X 5329 HI

Addresses

Primary practice location

45-259 Waikalua Rd
Kaneohe, HI 96744-3104

Mailing address

95-351 Mahapili CT Apt 138
Mililani, HI 96789-1441

Other practice location 1

94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Phone (808) 260-9056

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

LicenseStateTypeSpecialty
5329HIMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy LLC Pediatrics PastSince Feb 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1518611839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-351 MAHAPILI CT APT 138",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-259 WAIKALUA RD",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443104",
            "telephone_number": "808-233-5643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1181 Ka Uka Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967974485",
            "country_code": "US",
            "telephone_number": "808-260-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5329",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "HI",
            "license": "5329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.