Individual provider Active NPI

Dean I Kashiwabara, PT

  • Physical Therapist
  • Alea, HI
National Provider Identifier
1649359662
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1060 Issued in HI
Practice address
98-1079 Moanalua Road
Suite 610
Alea, HI 96701-4716
Phone
(808) 386-1716
Fax
(808) 739-1979
NPI assigned
Nov 2, 2006
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 PT1060 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Road
Suite 610
Alea, HI 96701-4716

Mailing address

2720 Lowrey Avenue
Honolulu, HI 96822-1636
Phone (808) 386-1716

Other identifiers 1

IdentifierTypeStateIssuer
248643MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120109000799 HI Practitioner - Physical Therapist in Private Practice 3577452085 Reassigns benefits to 1 organization
I20211220001678 NV Practitioner - Physical Therapist in Private Practice 3577452085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Honolulu, HI 96822
Phone (808) 386-1716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1060HIMDPhysical Therapist
1060HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients
Chynoweth Hill and Leavitt LLC CurrentSince Oct 4, 2021 Accepting new patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist PastSince Sep 9, 2005 Accepting new patients
THPT, Inc Physical Therapist PastSince Jun 1, 2018 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540

Interoperability endpoints

  • Direct secure messaging: dean.kashiwabara.1@15442.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1649359662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 LOWREY AVENUE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221636",
            "telephone_number": "808-386-1716",
            "fax_number": "808-739-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA ROAD",
            "address_2": "SUITE 610",
            "city": "ALEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-386-1716",
            "fax_number": "808-739-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIWABARA",
        "first_name": "DEAN",
        "middle_name": "I",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248643",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.