Active NPI
Archibald Aseron, PT
- Physical Therapist
- Waipahu, HI
National Provider Identifier
1538604616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2880
- Practice address
- 94-370 Pupupani St
Waipahu, HI 96797-2657 - Phone
- (808) 676-7700
- Fax
- (808) 676-7708
- NPI assigned
- Dec 28, 2016
- Sex
- Male
- 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 Therapist | 225100000X | 2880 | HI | Primary |
Addresses
Primary practice location
94-370 Pupupani St
Waipahu, HI 96797-2657
Mailing address
94-370 Pupupani St
Waipahu, HI 96797-2657
Phone (808) 676-7700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2880 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1538604616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-370 PUPUPANI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972657",
"telephone_number": "808-676-7700",
"fax_number": "808-676-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-370 PUPUPANI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972657",
"telephone_number": "808-676-7700",
"fax_number": "808-676-7708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASERON",
"first_name": "ARCHIBALD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-28",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.