Active NPI
Jun Bradley Lestino Cadelinia, PT, DPT
- Physical Therapist
- Kapolei, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5460
- Practice address
- 1001 Kamokila Blvd Ste 114
Kapolei, HI 96707-2095 - Phone
- (808) 674-0500
- Fax
- (808) 674-0511
- NPI assigned
- Jun 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-5460-0 | HI | |
| Physical Therapist | 225100000X | PT5460 | HI | Primary |
Addresses
Primary practice location
1001 Kamokila Blvd Ste 114
Kapolei, HI 96707-2095
Mailing address
45-650 Pua Alowalo St
Kaneohe, HI 96744-2926
Phone (808) 203-4467
Other practice location 1
99-128 Aiea Heights Dr Ste 207
Aiea, HI 96701-3968
Phone (808) 487-0487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
228 Kuulei Rd
Kailua, HI 96734-2720
Phone (808) 261-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-5460-0 | HI | MD | Physical Therapist |
| PT5460 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kailua Wellness Center, LLC | Physical Therapist | Current | Accepting new patients |
| Stayfit Physical Therapy LLC | Current | Accepting new patients |
Locations
99-128 Aiea Heights Dr
Ste 207
Aiea, HI 96701
Phone (808) 487-0487
228 Kuulei Rd
Kailua, HI 96734
Phone (808) 261-8181
1001 Kamokila Blvd
Ste 114
Kapolei, HI 96707
Phone (808) 674-0500
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Aiea, HI
- NPI 1740488006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1740929975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-650 PUA ALOWALO ST",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442926",
"telephone_number": "808-203-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD STE 114",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072095",
"telephone_number": "808-674-0500",
"fax_number": "808-674-0511"
}
],
"practiceLocations": [
{
"address_1": "99-128 Aiea Heights Dr Ste 207",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967013968",
"country_code": "US",
"telephone_number": "808-487-0487",
"fax_number": "808-486-8674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CADELINIA",
"first_name": "JUN BRADLEY",
"middle_name": "LESTINO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-04",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-5460-0",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT5460",
"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 Jul 27, 2022; 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.