Organization Active NPI

Kaheka Rehab Clinic, Inc.

Doing business as Victor M. Yamamoto

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1578698577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KAHEKA REHAB CLINIC, INC.
Doing business as
Victor M. Yamamoto
Practice address
1481 S King St
Ste 327
Honolulu, HI 96814-2506
Phone
(808) 955-9000
Fax
(808) 955-9002
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Victor Mitsuo Yamamoto, LMT
Title
Ceo
Phone
(808) 955-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X HI Primary

Addresses

Primary practice location

1481 S King St
Ste 327
Honolulu, HI 96814-2506

Mailing address

1481 S King St
Ste 327
Honolulu, HI 96814-2604
Phone (808) 955-9000

Other identifiers 1

IdentifierTypeStateIssuer
1255470829OtherMAPHYSICAL THERAPIST

Other names 1

  • Victor M. Yamamoto Doing business as

National Provider Directory

National Provider Directory

Locations

1481 S King St
Ste 327
Honolulu, HI 96814
Phone (808) 947-6565

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578698577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "STE 327",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142604",
            "telephone_number": "808-955-9000",
            "fax_number": "808-955-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "STE 327",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-955-9000",
            "fax_number": "808-955-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHEKA REHAB CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "MITSUO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-955-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1255470829",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor M. Yamamoto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.