Individual provider Active NPI

Ginn C Sakagawa, MPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1760697841
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1029 Kapahulu Ave
Suite 401
Honolulu, HI 96816-1332
Phone
(808) 739-1977
Fax
(808) 739-1979
NPI assigned
May 11, 2007
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2300 HI
Physical Therapist 225100000X HI Primary

Addresses

Primary practice location

1029 Kapahulu Ave
Suite 401
Honolulu, HI 96816-1332

Mailing address

PO Box 10327
Honolulu, HI 96816-0327
Phone (808) 739-1977

Other identifiers 1

IdentifierTypeStateIssuer
PT2300OtherHILICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706001336 HI Practitioner - Physical Therapist in Private Practice 5092792135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Physical TherapyGroup PAC ID 7517234263, 2 clinicians

Practice addresses (Care Compare)

1029 Kapahulu Ave
Suite 401
Honolulu, HI 96816-1332
Phone (808) 739-1977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2300HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Physical Therapy Physical Therapist CurrentSince Dec 1, 2016 Accepting new patients
Total Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

1029 Kapahulu Ave
Ste 401
Honolulu, HI 96816
Phone (808) 218-7888

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1760697841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10327",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968160327",
            "telephone_number": "808-739-1977",
            "fax_number": "808-739-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-739-1977",
            "fax_number": "808-739-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAGAWA",
        "first_name": "GINN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT2300",
            "state": "HI"
        }
    ],
    "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 Jan 4, 2017; 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.