Organization Active NPI

Gdo Inc.

  • Specialist
  • Ewa Beach, HI
National Provider Identifier
1821259425
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1339 Issued in HI
Legal business name
GDO INC.
Doing business as
P.T. On The G.O.
Practice address
91-1171 Makaaloa St
Ewa Beach, HI 96706-3929
Phone
(808) 258-2125
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Mr. Garrett Wakato Okubo, M.S.P.T.
Title
Physical Therapist/President
Phone
(808) 258-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1339 HI Primary

Addresses

Primary practice location

91-1171 Makaaloa St
Ewa Beach, HI 96706-3929

Mailing address

91-1171 Makaaloa St
Ewa Beach, HI 96706-3929
Phone (808) 258-2125

Other identifiers 2

IdentifierTypeStateIssuer
50103203MedicaidHI
00I0230020OtherHIHAWAII MEDICAL SERVICE ASSOCIATION

Other names 1

  • P.T. On The G.O. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1821259425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1171 MAKAALOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063929",
            "telephone_number": "808-258-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1171 MAKAALOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063929",
            "telephone_number": "808-258-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "OKUBO",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "WAKATO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "808-258-2125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "1339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50103203",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
            "identifier": "00I0230020",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.T. On The G.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.