Individual provider Active NPI

Ma Corazon Sagucio, PT, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1679921167
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2986 Issued in HI
Practice address
2230 Liliha St
Honolulu, HI 96817-1646
Phone
(808) 547-6003
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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-2986 HI Primary

Addresses

Primary practice location

2230 Liliha St
Honolulu, HI 96817-1646

Mailing address

1146 Hala Dr
Honolulu, HI 96817-2125
Phone (808) 634-4004

Other names 1

  • Ma Corazon Altonaga Aguilar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT-2986HIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1679921167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 HALA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172125",
            "telephone_number": "808-634-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGUCIO",
        "first_name": "MA CORAZON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA CORAZON",
            "last_name": "AGUILAR",
            "middle_name": "ALTONAGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.