Jiro Jerry Ishida, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

249 Issued in HI

Practice address

2230 Liliha St
Honolulu, HI 96817-1646

Phone

(808) 547-6500

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1588015374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 SUMMER ST APT C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212361",
            "telephone_number": "941-685-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIDA",
        "first_name": "JIRO",
        "middle_name": "JERRY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "HI",
            "license": "249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Isadore, M.D.
• Paul A Isenbarger, M.D.
• Isg, Inc.
• Harrison Masao Ishida, D.D.S.
• Jay T. Ishida, MD
• Michelle Malia Ishida, L.S.W.
• Brian K Ishidera
• Derrick Keiji Ishihara, P.T.
• Lissa Ishihara
• Rhys Ishihara, MD

• Physical Therapy Assistant in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapy Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.