Individual provider Active NPI

Katelyn Chiemi Kaya

  • Physical Therapist
  • Kapolei, HI
National Provider Identifier
1528436458
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4062 Issued in HI
Practice address
599 Farrington Hwy
Suite 102
Kapolei, HI 96707-2028
Phone
(808) 674-1142
Fax
(808) 674-1143
NPI assigned
Sep 9, 2015
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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-4062 HI Primary

Addresses

Primary practice location

599 Farrington Hwy
Suite 102
Kapolei, HI 96707-2028

Mailing address

599 Farrington Hwy
Suite 102
Kapolei, HI 96707-2028
Phone (808) 674-1142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117002671 HI Practitioner - Physical Therapist in Private Practice 9638489917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Sports Analysis LLCGroup PAC ID 1850602418, 8 clinicians

Practice addresses (Care Compare)

599 Farrington Hwy
Suite 102
Kapolei, HI 96707-2028
Phone (808) 674-1142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-4062HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Sports Analysis LLC CurrentSince Sep 11, 2015 Accepting new patients
Core Sports Honolulu LLC CurrentSince May 1, 2020 Accepting new patients

Locations

725 Kapiolani Blvd
Ste C103
Honolulu, HI 96813
Phone (808) 596-4650

599 Farrington Hwy
Ste 102
Kapolei, HI 96707
Phone (808) 674-1142

Organizations & group practices 2

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1528436458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY",
            "address_2": "SUITE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY",
            "address_2": "SUITE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYA",
        "first_name": "KATELYN",
        "middle_name": "CHIEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.