Individual provider Active NPI

Garrett Yamamoto, PT, DPT

  • Orthopedic Physical Therapist
  • Honolulu, HI
National Provider Identifier
1750941084
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3270 Issued in HI
Practice address
320 Ward Ave Ste 107
Honolulu, HI 96814-4016
Phone
(808) 783-2783
NPI assigned
Jun 18, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3270 HI Primary

Addresses

Primary practice location

320 Ward Ave Ste 107
Honolulu, HI 96814-4016

Mailing address

320 Ward Ave Ste 107
Honolulu, HI 96814-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3270HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Therapy, LLC Orthopedic CurrentSince Jul 1, 2019 Accepting new patients
Moon Physical Therapy LLC Past Accepting new patients

Locations

320 Ward Ave
Ste 107
Honolulu, HI 96814
Phone (808) 597-1005

201 Hamakua Dr
#C102
Kailua, HI 96734
Phone (808) 597-1005

201 Hamakua Dr
Ste C102
Kailua, HI 96734
Phone (808) 597-1005

95-1057 Ainamakua Dr
Ste F11
Mililani, HI 96789
Phone (808) 597-1005

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, 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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1750941084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARD AVE STE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARD AVE STE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144016",
            "telephone_number": "808-783-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "3270",
            "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 Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.