Individual provider Active NPI

Joanne Joy Camposano Abesamis, RPT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1710119748
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3894 Issued in HI
Practice address
94-370 Pupupani St
Waipahu, HI 96797-2657
Phone
(808) 676-7700
Fax
(808) 676-7708
NPI assigned
Aug 8, 2009
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 0312051 NY
Physical Therapist 225100000X PT-3894 HI Primary

Addresses

Primary practice location

94-370 Pupupani St
Waipahu, HI 96797-2657

Mailing address

94-370 Pupupani St
Waipahu, HI 96797-2657
Phone (808) 676-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180811000265 HI Practitioner - Physical Therapist in Private Practice 9335469410 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0312051NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Rehab Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1710119748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-370 PUPUPANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972657",
            "telephone_number": "808-676-7700",
            "fax_number": "808-676-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-370 PUPUPANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972657",
            "telephone_number": "808-676-7700",
            "fax_number": "808-676-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABESAMIS",
        "first_name": "JOANNE JOY",
        "middle_name": "CAMPOSANO",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0312051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.