Individual provider Active NPI

Leslie J Kinoshita-Lee, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1831644509
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5560 Issued in HI
Practice address
1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332
Phone
(808) 739-1977
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5560 HI Primary
Physical Therapist 225100000X 60658886 WA
Physical Therapist 225100000X

Addresses

Primary practice location

1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332

Mailing address

1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332
Phone (808) 739-1977

Other practice location 1

4220 Hoyt Ave
Everett, WA 98203-2317
Phone (425) 258-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131002626 HI Practitioner - Physical Therapist in Private Practice 4284921339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Physical TherapyGroup PAC ID 7517234263, 2 clinicians

Practice addresses (Care Compare)

1029 Kapahulu Ave
Suite 401
Honolulu, HI 96816-1332
Phone (808) 739-1977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5560HIMDPhysical Therapist
60658886WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Physical Therapy Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

1029 Kapahulu Ave
Ste 401
Honolulu, HI 96816
Phone (808) 218-7888

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1831644509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-739-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-739-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032317",
            "country_code": "US",
            "telephone_number": "425-258-5330",
            "fax_number": "425-258-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINOSHITA-LEE",
        "first_name": "LESLIE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT5560",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60658886",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 12, 2023; 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.