Individual provider Active NPI

Reid M Nakamura

  • Orthopedic Physical Therapist
  • Aiea, HI
National Provider Identifier
1588920664
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3501 Issued in HI
Practice address
99-115 Aiea Heights Dr Ste 253
Aiea, HI 96701-3975
Phone
(808) 773-8811
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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 3501 HI Primary

Addresses

Primary practice location

99-115 Aiea Heights Dr Ste 253
Aiea, HI 96701-3975

Mailing address

99-115 Aiea Heights Dr Ste 253
Aiea, HI 96701-3975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120509000727 HI Practitioner - Physical Therapist in Private Practice 1153583075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atta Rehab, LLCGroup PAC ID 2062842214, 5 clinicians

Practice addresses (Care Compare)

99 -115 Aiea Heights Dr
Suite 253
Aiea, HI 96701-3975
Phone (808) 773-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3501HIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stayfit Physical Therapy LLC CurrentSince Apr 3, 2012 Accepting new patients
Atta Rehab, LLC Orthopedic CurrentSince Feb 23, 2020 Accepting new patients

Locations

99-115 Aiea Heights Dr
Ste 253
Aiea, HI 96701
Phone (808) 256-8395

99-128 Aiea Heights Dr
Ste 207
Aiea, HI 96701
Phone (808) 487-0487

1001 Kamokila Blvd
Ste 114
Kapolei, HI 96707
Phone (808) 674-0500

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1588920664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 253",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 253",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013975",
            "telephone_number": "808-773-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "REID",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.