Individual provider Active NPI

Jo Ann Hiroshige, PT

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1679791669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1031 Issued in HI
Practice address
78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528
Phone
(808) 322-2790
Fax
(808) 322-1883
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT-1031 HI Primary

Addresses

Primary practice location

78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528

Mailing address

78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528
Phone (808) 322-2790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180316001772 AZ Practitioner - Physical Therapist in Private Practice 7517147283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1031HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physical Therapy LLC CurrentSince Mar 7, 2018 Accepting new patients
Essential Therapy Solutions, LLC Past Accepting new patients

Locations

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679791669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6957 KAMEHAMEHA III RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402528",
            "telephone_number": "808-322-2790",
            "fax_number": "808-322-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6957 KAMEHAMEHA III RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402528",
            "telephone_number": "808-322-2790",
            "fax_number": "808-322-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIROSHIGE",
        "first_name": "JO ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.