Jennifer S Iyo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4262 Issued in HI

Practice address

1001 Kamokila Blvd
#114
Kapolei, HI 96707-2014

Phone

(808) 674-0500

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upward Physical Therapy and Wellness LLCGroup PAC ID 5092133678, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Upward Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1124632609
  Medicare reassignment Care Compare group NPD
• Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1356411011
  Medicare reassignment NPD
• Musubi PT LLC

  • Orthopedic Physical Therapist
  • Seattle, WA
  • NPI 1922931450
  NPD Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1730636788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1086 EULU ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893725",
            "telephone_number": "808-674-0500",
            "fax_number": "808-674-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "#114",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYO",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Oral and Maxillofacial Surgery, L.L.C.
• Tara Ito
• Dennis Paul Itoga
• Marcus K. Iwane, M.D.
• Jarin Tsuyoshi Iwata, BCBA, LBA
• Mattix Jaccaud
• Robert E Jackson, PH.D.
• Jaco Rehab Kapolei Limited Partnership
• Jaco Rehab Kapolei, LLC
• John Robert Jaicks, DMD

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.