Active NPI
Kelli Kobayashi, DPT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1801430293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4893
- Practice address
- 1120 12TH Ave Ste 302
Honolulu, HI 96816-3790 - Phone
- (808) 734-4043
- NPI assigned
- Oct 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4893 | HI | Primary |
Addresses
Primary practice location
1120 12TH Ave Ste 302
Honolulu, HI 96816-3790
Mailing address
1120 12TH Ave Ste 302
Honolulu, HI 96816-3790
Phone (808) 734-4043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200120000437 | HI | Practitioner - Physical Therapist in Private Practice | 5799110805 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4893 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern at Home Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Fysiotherapie Hawaii Inc | Physical Therapist | Current | Accepting new patients |
Locations
1120 12th Ave
Ste 302
Honolulu, HI 96816
Phone (808) 734-4043
94-1388 Moaniani St
Ste 243
Waipahu, HI 96797
Phone (601) 641-9594
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
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 Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
HI, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1801430293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 12TH AVE STE 302",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163790",
"telephone_number": "808-734-4043",
"fax_number": "808-737-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 12TH AVE STE 302",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163790",
"telephone_number": "808-734-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBAYASHI",
"first_name": "KELLI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4893",
"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 Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.