Individual provider Active NPI

Michelle Mestanza, PT, DPT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1538978705
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6080 Issued in HI
Practice address
94-810 Moloalo St Ste 220
Waipahu, HI 96797-3355
Phone
(808) 671-1711
Fax
(808) 671-1705
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 6080 HI Primary

Addresses

Primary practice location

94-810 Moloalo St Ste 220
Waipahu, HI 96797-3355

Mailing address

1184 Kalama Paka PL
Honolulu, HI 96825-2886
Phone (808) 220-1330

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
6080HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chart Rehabilitation of Hawaii Inc Physical Therapist CurrentSince Jan 5, 2025 Accepting new patients
Chart Rehabilitation of Hawaii Inc Physical Therapist PastSince Jan 5, 2025 Accepting new patients

Locations

94-810 Moloalo St
Ste 220
Waipahu, HI 96797
Phone (808) 671-1711

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1538978705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 KALAMA PAKA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252886",
            "telephone_number": "808-220-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-810 MOLOALO ST STE 220",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973355",
            "telephone_number": "808-671-1711",
            "fax_number": "808-671-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTANZA",
        "first_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "6080",
            "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 2, 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.