Individual provider Active NPI

Adrienne Yamamoto, PT, DPT

  • Orthopedic Physical Therapist
  • Waipahu, HI
National Provider Identifier
1558880856
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
H117869MedicaidHI

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

OrganizationSpecialtyStatusNew patients
The Movement Doc LLC CurrentSince Mar 5, 2023 Accepting new patients
The Pelvic Docs, LLC PastSince Jun 25, 2023 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.

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.

Verify at the official NPI Registry.