Active NPI
Adrienne Yamamoto, PT, DPT
- Orthopedic Physical Therapist
- Waipahu, HI
National Provider Identifier
1558880856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 94-1388 Moaniani St Ste 243
Waipahu, HI 96797-6606 - Phone
- (808) 744-5161
- Fax
- (808) 744-6639
- NPI assigned
- Sep 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
94-1388 Moaniani St Ste 243
Waipahu, HI 96797-6606
Mailing address
1402 Piikoi St Apt 503
Honolulu, HI 96822-4026
Other practice location 1
2500 S Power Rd Ste 126
Mesa, AZ 85209-6688
Phone (480) 253-9262
Other practice location 2
1120 12th Ave Ste 302
Honolulu, HI 96816-3790
Phone (808) 734-4043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H117869 | Medicaid | HI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Movement Doc LLC | Current | Accepting new patients | |
| The Pelvic Docs, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Honolulu, HI
- NPI 1154020485
-
- Physical Therapist
- Phoenix, AZ
- NPI 1669157525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1558880856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 PIIKOI ST APT 503",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968224026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1388 MOANIANI ST STE 243",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967976606",
"telephone_number": "808-744-5161",
"fax_number": "808-744-6639"
}
],
"practiceLocations": [
{
"address_1": "2500 S Power Rd Ste 126",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852096688",
"country_code": "US",
"telephone_number": "480-253-9262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 12th Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968163790",
"country_code": "US",
"telephone_number": "808-734-4043",
"fax_number": "808-737-7247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "ADRIENNE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2021-09-02",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H117869",
"state": "HI"
}
],
"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 Sep 2, 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.