Individual provider Active NPI

Gary Uyeda, PHYSICAL THERAPIST

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1649345604
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
783 Issued in HI
Practice address
800 S Beretania St Ste 100
Honolulu, HI 96813-5702
Phone
(808) 533-4545
Fax
(808) 533-1656
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 783 HI Primary

Addresses

Primary practice location

800 S Beretania St Ste 100
Honolulu, HI 96813-5702

Mailing address

PO Box 1300
Honolulu, HI 96807-1300
Phone (808) 533-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000641 HI Practitioner - Physical Therapist in Private Practice 0042491086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmedicine Hawaii LTDGroup PAC ID 1557251956, 4 clinicians

Practice addresses (Care Compare)

800 S Beretania St
Suite 100
Honolulu, HI 96813-5702
Phone (808) 533-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Therapeutics LLC Physical Therapist CurrentSince Mar 1, 2013 Accepting new patients
Sportsmedicine Hawaii LTD Physical Therapist CurrentSince Sep 25, 1999 Accepting new patients

Locations

98-211 Pali Momi St
Ste 300
Aiea, HI 96701
Phone (808) 456-5888

800 S Beretania St
Ste 100
Honolulu, HI 96813
Phone (808) 533-4545

2733 East Manoa Rd
#205
Honolulu, HI 96822
Phone (808) 371-3011

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1649345604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-533-4545",
            "fax_number": "808-533-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BERETANIA ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135702",
            "telephone_number": "808-533-4545",
            "fax_number": "808-533-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYEDA",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.