Individual provider Active NPI

Scott Takeshi Yasumoto, PT, DPT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1548880834
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797-4483
Phone
(808) 531-2244
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 Primary

Addresses

Primary practice location

94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797-4483

Mailing address

94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797-4483
Phone (808) 531-2244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113003108 HI Practitioner - Physical Therapist in Private Practice 3779930755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enso Physical Therapy LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients

Locations

94-1144 Ka Uka Blvd
Ste 16
Waipahu, HI 96797
Phone (808) 531-2244

94-1144 Ka Uka Blvd
Ste 16
Waipahu, HI 96797
Phone (808) 531-2244

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1548880834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1144 KA UKA BLVD STE 16",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974483",
            "telephone_number": "808-531-2244",
            "fax_number": "808-490-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1144 KA UKA BLVD STE 16",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974483",
            "telephone_number": "808-531-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASUMOTO",
        "first_name": "SCOTT",
        "middle_name": "TAKESHI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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, 2025; 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.