Individual provider Active NPI

Trenton James Saupan, DPT

  • Physical Therapist
  • Kapolei, HI
National Provider Identifier
1710338207
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
91-1027 Shangrila St
Kapolei
Kapolei, HI 96707-2101
Phone
(808) 674-9595
NPI assigned
Jun 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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 Primary

Addresses

Primary practice location

91-1027 Shangrila St
Kapolei
Kapolei, HI 96707-2101

Mailing address

92-488 Ohio St
Kapolei
Kapolei, HI 96707-3404
Phone (801) 598-3446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001405 HI Practitioner - Physical Therapist in Private Practice 8123314184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elam Sports IncGroup PAC ID 7618880535, 6 clinicians

Practice addresses (Care Compare)

91 -1027 Shangrila St
BLDG 1867
Kapolei, HI 96707-2101
Phone (808) 674-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elam Sports, Inc Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
Warfighter'S Clinic PastSince Jun 27, 2016 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Locations

91-1027 Shangrila St
Bldg 1867
Kapolei, HI 96707
Phone (808) 674-9595

91-1027 Shangrila St
Ste 1867
Kapolei, HI 96707

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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1710338207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-488 OHIO ST",
            "address_2": "KAPOLEI",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073404",
            "telephone_number": "801-598-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1027 SHANGRILA ST",
            "address_2": "KAPOLEI",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072101",
            "telephone_number": "808-674-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUPAN",
        "first_name": "TRENTON",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.