Individual provider Active NPI

Kelli Kobayashi, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1801430293
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4893 Issued in HI
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

Updated by the provider on Jun 8, 2022

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4893HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Fysiotherapie Hawaii Inc Physical Therapist CurrentSince Jun 24, 2022 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.

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.

Verify at the official NPI Registry.