Individual provider Active NPI

Lia Kimi Yamamoto, PT DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1750304689
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5037 Issued in OR
Practice address
800 SW 13TH Ave
Portland, OR 97205
Phone
(503) 221-0161
Fax
(503) 221-4030
NPI assigned
Jul 25, 2006
Last updated
May 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 5037 OR Primary

Addresses

Primary practice location

800 SW 13TH Ave
Portland, OR 97205

Mailing address

800 SW 13TH Ave
Portland, OR 97205
Phone (800) 219-8835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017001592 HI Practitioner - Physical Therapist in Private Practice 3678579224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Hawaii Therapy IncGroup PAC ID 2567695885, 4 clinicians
Manakai O Malama IntegrativeGroup PAC ID 4880582808, 9 clinicians

Practice addresses (Care Compare)

1314 S King St
Suite 1455
Honolulu, HI 96814-1948
Phone (808) 521-8500

677 Ala Moana Blvd
SPC 950
Honolulu, HI 96813-5408
Phone (808) 535-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5037ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Hawaii Therapy Inc Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients
Manakai O Malama Integrative CurrentSince Aug 17, 2016 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Portland Clinic Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

1314 S King St
Ste 1455
Honolulu, HI 96814
Phone (808) 348-3763

677 Ala Moana Blvd
Spc 950
Honolulu, HI 96813
Phone (808) 535-5555

932 Ward Ave
Ste 600
Honolulu, HI 96814
Phone (808) 535-5555

Organizations & group practices 7

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1750304689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "800-219-8835",
            "fax_number": "503-443-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-221-0161",
            "fax_number": "503-221-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "LIA",
        "middle_name": "KIMI",
        "name_prefix": "Ms.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.