Active NPI
Frederick Agustin Caoagas, DPT
- Physical Therapist
- Lihue, HI
National Provider Identifier
1619149242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2803
- Practice address
- 2249 Alahee St
Lihue, HI 96766 - Phone
- (808) 482-0354
- NPI assigned
- Mar 24, 2008
- Last updated
- Oct 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2803 | HI | Primary |
Addresses
Primary practice location
2249 Alahee St
Lihue, HI 96766
Mailing address
2249 Alahee St
Lihue, HI 96766-8837
Phone (808) 482-0354
Other practice location 1
940 Kamalu Rd
Kapaa, HI 96746-9703
Phone (808) 212-1338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2803 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kauai Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Lihue, HI
- NPI 1124689070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1619149242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 ALAHEE ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967668837",
"telephone_number": "808-482-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 ALAHEE ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-482-0354"
}
],
"practiceLocations": [
{
"address_1": "940 Kamalu Rd",
"address_purpose": "LOCATION",
"city": "Kapaa",
"state": "HI",
"postal_code": "967469703",
"country_code": "US",
"telephone_number": "808-212-1338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAOAGAS",
"first_name": "FREDERICK",
"middle_name": "AGUSTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-24",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.