Individual provider Active NPI

Nina Oi Ting Kondo, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1710350194
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4090 Issued in HI
Practice address
770 Kapiolani Blvd
Suite 104
Honolulu, HI 96813-5212
Phone
(808) 596-9446
Fax
(808) 596-9160
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 4090 HI Primary

Addresses

Primary practice location

770 Kapiolani Blvd
Suite 104
Honolulu, HI 96813-5212

Mailing address

770 Kapiolani Blvd
Suite 104
Honolulu, HI 96813-5212
Phone (808) 596-9446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223001840 HI Practitioner - Physical Therapist in Private Practice 9830494244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Associates LLCGroup PAC ID 5496730467, 8 clinicians

Practice addresses (Care Compare)

770 Kapiolani Blvd
Suite 104
Honolulu, HI 96813-5254
Phone (808) 596-9446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4090HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates, LLC CurrentSince Nov 4, 2015 Accepting new patients

Locations

770 Kapiolani Blvd
Ste 104
Honolulu, HI 96813
Phone (808) 596-9446

94-547 Ukee St
Ste 100
Waipahu, HI 96797
Phone (808) 596-9160

Organizations & group practices 1

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1710350194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135212",
            "telephone_number": "808-596-9446",
            "fax_number": "808-596-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135212",
            "telephone_number": "808-596-9446",
            "fax_number": "808-596-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDO",
        "first_name": "NINA",
        "middle_name": "OI TING",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 2018; 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.