Daniela Roark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4496 Issued in HI

Practice address

2900 Pali Hwy
Honolulu, HI 96817-1479

Phone

(808) 595-6311

NPI assigned

Oct 6, 2014

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosport Hawaii, LLCGroup PAC ID 5890872634, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthosport Hawaii, LLC

  • Orthopedic Physical Therapist
  • Honolulu, HI
  • NPI 1619147543
  Medicare reassignment Care Compare group NPD
• Orthosport Physical Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Honolulu, HI
  • NPI 1811585524
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1831592757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 LINDA VISTA WAY",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PALI HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171479",
            "telephone_number": "808-595-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911061451",
            "country_code": "US",
            "telephone_number": "626-795-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROARK",
        "first_name": "DANIELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4496",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "41742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Rivers, CCC-SLP
• Raja Haris Rizwan, MD
• Marco Rizzo, M.D.
• RJB Corporation (Aiea Medical Pharmacy)
• Michael C Roach, MD
• Rob L. Wetzel, PHD, Inc
• Faaae Theresa Robanakadavu
• Robb T. Shibayama, O.D., Inc (Hawaii Vision Associates)
• Robb T. Shibayama, O.D., Inc
• Robb T. Shibayama, O.D., Inc. (Hawaii Vision Associates)

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.