Individual provider Active NPI

Olivia C Yanagi, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1568616795
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1067 Issued in HI
Practice address
3221 Waialae Ave Ste 300
Honolulu, HI 96816-5845
Phone
(808) 737-4244
Fax
(808) 737-2220
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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 PT-1067 HI Primary

Addresses

Primary practice location

3221 Waialae Ave Ste 300
Honolulu, HI 96816-5845

Mailing address

3221 Waialae Ave Ste 300
Honolulu, HI 96816-5845
Phone (808) 737-4244

Other identifiers 1

IdentifierTypeStateIssuer
PT-1067OtherHIPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000672 HI Practitioner - Physical Therapist in Private Practice 2668539347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Therapy Partners IncGroup PAC ID 3375433592, 6 clinicians

Practice addresses (Care Compare)

1212 Punahou St
Honolulu, HI 96826-1031
Phone (808) 678-8467

98 -1247 Kaahumanu St
118B
Aiea, HI 96701-5311
Phone (808) 488-4243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1067HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Therapy Partners, Inc. Physical Therapist CurrentSince Jul 26, 2009 Accepting new patients
Hawaii Optimum Performance, LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 118B
Aiea, HI 96701
Phone (808) 488-4243

3221 Waialae Ave
Ste 300
Honolulu, HI 96816
Phone (808) 488-4243

98-1238 Kaahumanu St
Ste 304
Pearl City, HI 96782
Phone (808) 484-5656

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1568616795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-737-4244",
            "fax_number": "808-737-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-737-4244",
            "fax_number": "808-737-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGI",
        "first_name": "OLIVIA",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT-1067",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.