Individual provider Active NPI

Adrienne A Ohashi-Matsumura, DPT

  • Physical Therapist
  • Hilo, HI
National Provider Identifier
1659504066
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3117 Issued in HI
Practice address
762 Kanoelehua Ave
Hilo, HI 96720
Phone
(808) 987-2133
Fax
(808) 982-9737
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3117 HI
Physical Therapist 225100000X PT-3117 HI Primary

Addresses

Primary practice location

762 Kanoelehua Ave
Hilo, HI 96720

Mailing address

762 Kanoelehua Ave
Hilo, HI 96720
Phone (808) 987-2133

Other names 1

  • Adrienne A Ohashi Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000150 HI Practitioner - Physical Therapist in Private Practice 1658418769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

578 Hinano St
Suite 103
Hilo, HI 96720-6434
Phone (808) 969-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3117HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chikara Physical Therapy, LLC CurrentSince Sep 1, 2016 Accepting new patients
Orthopedic Rehabilitation Specialists Inc PastSince Apr 1, 2002 Accepting new patients
Action Rehab Inc Physical Therapist PastSince Aug 2, 2010 Accepting new patients

Locations

762 Kanoelehua Ave
Ste 202
Hilo, HI 96720

762 Kanoelehua Ave
Hilo, HI 96720
Phone (808) 987-2133

578 Hinano St
Ste 103
Hilo, HI 96720
Phone (808) 969-9200

Organizations & group practices 3

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1659504066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 KANOELEHUA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-987-2133",
            "fax_number": "808-982-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 KANOELEHUA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-987-2133",
            "fax_number": "808-982-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHASHI-MATSUMURA",
        "first_name": "ADRIENNE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT3117",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "OHASHI",
            "middle_name": "A",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.