Jonathan Soriano Camacaylan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2935 Issued in HI

Practice address

68-1845 Waikoloa Rd
Ste 211
Waikoloa, HI 96738

Phone

(808) 883-3400

Fax

(808) 883-3440

NPI assigned

Jul 8, 2009

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Mana Physical Therapy IncGroup PAC ID 0941428932, 2 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 and National Provider Directory roles.

• Mana Physical Therapy Inc.

  • Physical Therapist
  • Waikoloa, HI
  • NPI 1942629241
  Medicare reassignment Care Compare group NPD Authorized official
• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua-Kona, HI
  • NPI 1518935162

  Physical Therapist

  NPD
• Freedom of Speech, LLC

  • Hearing and Speech Clinic/Center
  • Kailua Kona, HI
  • NPI 1871829903
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629207956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA RD",
            "address_2": "STE 106 # 220",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-3400",
            "fax_number": "808-883-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA RD",
            "address_2": "STE 211",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-3400",
            "fax_number": "808-883-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACAYLAN",
        "first_name": "JONATHAN",
        "middle_name": "SORIANO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carmel Chilton, MASSAGE THERAPIST
• Katelyn Crabtree, MOT, OTR
• Maliealakai Culp, LMT
• Erica Giao Davis
• Donald Elder, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.