Tara Ito

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5320-0 Issued in HI

Practice address

599 Farrington Hwy Ste 102
Kapolei, HI 96707-2028

Phone

(808) 674-1142

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Sports Analysis LLCGroup PAC ID 1850602418, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Sports Analysis LLC

  dba CORE Sports Physical Therapy and Orthopedics

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1043600232
  Medicare reassignment Care Compare group NPD
• Core Sports Honolulu LLC

  dba Core Sports Honolulu

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1538792742
  Medicare reassignment NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1598425498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5320-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Marie Sajor Isidro, LMT
• Island Behavioral Health LLC
• Island Functional Medicine LLC
• Island Integrative Medicine LLC
• Island Oral and Maxillofacial Surgery, L.L.C. (Island Oral and Maxillofacial Surgery)
• Dennis Paul Itoga
• Marcus K. Iwane, M.D.
• Jarin Tsuyoshi Iwata, BCBA, LBA
• Jennifer S Iyo, DPT
• Mattix Jaccaud

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.