Kij Sidon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5513 Issued in HI

Practice address

430 Kele St
Kahului, HI 96732-3406

Phone

(808) 871-0900

NPI assigned

Aug 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Wellness Center of Maui LLCGroup PAC ID 6608767413, 3 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 and National Provider Directory roles.

• Physical Therapy and Wellness Center of Maui LLC

  • Physical Therapist
  • Kahului, HI
  • NPI 1578623211
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1831827591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967680329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 KELE ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323406",
            "telephone_number": "808-871-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDON",
        "first_name": "KIJ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Panuiokalani Shepard
• Gabryelle Alohamaikalani Shepard
• Laurel Shiba, PHD
• Kristina Chance Shimokawa, LMFT
• Lisa Yukiko Shitamoto, DDS
• Christian May Simon, REGISTERED NURSE
• Sarah Anne Simons, AU.D.
• Laya Yelena Simpson, NURSE AIDE
• Hailey Singleton, RBT-21-155436
• Mark Sitts, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.