NPIMap

Organization Active NPI

Ohana Physical Therapy Inc

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1851486237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OHANA PHYSICAL THERAPY INC
Doing business as
Knight Physical Therapy Inc
Practice address
13341 Garden Grove Blvd.
Suite B
Garden Grove, CA 92843
Phone
(714) 750-4097
Fax
(714) 750-4616
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Derrick George Sueki, DPTNPI 1184770406
Title
Owner
Phone
(714) 750-4097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CA Primary

Addresses

Primary practice location

13341 Garden Grove Blvd.
Suite B
Garden Grove, CA 92843

Mailing address

13341 Garden Grove Blvd.
Suite B
Garden Grove, CA 92843
Phone (714) 750-4097

Other names 1

  • Knight Physical Therapy Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901001019 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911972906 Receives reassigned benefits from 11 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

2115 W Crescent Ave
Ste A
Anaheim, CA 92801
Phone (714) 758-9500

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851486237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13341 GARDEN GROVE BLVD.",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-750-4097",
            "fax_number": "714-750-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 GARDEN GROVE BLVD.",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-750-4097",
            "fax_number": "714-750-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUEKI",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-750-4097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Physical Therapy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.