Active NPI
Kara Jo C Kaneko, M.S.P.T.
- Physical Therapist
- Tripler Army Medical Center, HI
National Provider Identifier
1780605519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2303
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001 - Phone
- (808) 443-3666
- Fax
- (808) 443-3155
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- 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 | PT28651 | CA | |
| Physical Therapist | 225100000X | 2303 | HI | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6661
Other practice location 1
6905 Harris Ave
Kailua, HI 96734
Phone (808) 473-7264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000244699 | Other | HI | HMSA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT28651 | CA | MD | Physical Therapist |
| 2303 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKW Star Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Pearl City, HI
- NPI 1679590517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1780605519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-6661",
"fax_number": "808-433-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-443-3666",
"fax_number": "808-443-3155"
}
],
"practiceLocations": [
{
"address_1": "6905 Harris Ave",
"address_purpose": "LOCATION",
"city": "Kailua",
"state": "HI",
"postal_code": "96734",
"country_code": "US",
"telephone_number": "808-473-7264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANEKO",
"first_name": "KARA JO",
"middle_name": "C",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2023-07-26",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28651",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000244699",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tripler Army Medical Center, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.