Active NPI
Edward Tyler, DPT
- Physical Therapist
- Kaneohe, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 47-388 Hui Iwa St
Ste 21B
Kaneohe, HI 96744-4416 - Phone
- (808) 233-9219
- Fax
- (808) 444-3744
- NPI assigned
- May 2, 2017
- Last updated
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
47-388 Hui Iwa St
Ste 21B
Kaneohe, HI 96744-4416
Mailing address
46-036 Kam Hwy Unit 5124
Kaneohe, HI 96744-7711
Phone (808) 233-9219
Other practice location 1
970 N Kalaheo Ave
Kailua, HI 96734-1866
Phone (808) 488-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815293 | Medicaid | HI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
47 -388 Hui Iwa St
Suite 21B
Kaneohe, HI 96744-4416
Phone (808) 233-9219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Eleu Physical Therapy | Current | Accepting new patients | |
| Warfighter's Clinic | Past | Accepting new patients | |
| Elam Sports, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
45-602 Kamehameha Hwy
Kaneohe, HI 96744
Phone (808) 432-3800
47-388 Hui Iwa St
Ste 21B
Kaneohe, HI 96744
Phone (757) 947-6006
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
Organizations & group practices 6
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.
-
dba Kaiser Honolulu Clinic Radiology
- Radiology Clinic/Center
- Honolulu, HI
- NPI 1063515567
-
- Physical Therapy Clinic/Center
- Kaneohe, HI
- NPI 1972216430
-
dba Kaiser Koolau Clinic Laboratory
- Clinical Medical Laboratory
- Kaneohe, HI
- NPI 1568477016
-
dba Kahuku Clinic
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
-
- Pain Medicine Physician
- Kapolei, HI
- NPI 1003357765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1851827570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-036 KAM HWY UNIT 5124",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967447711",
"telephone_number": "808-233-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47-388 HUI IWA ST",
"address_2": "STE 21B",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967444416",
"telephone_number": "808-233-9219",
"fax_number": "808-444-3744"
}
],
"practiceLocations": [
{
"address_1": "970 N Kalaheo Ave",
"address_purpose": "LOCATION",
"city": "Kailua",
"state": "HI",
"postal_code": "967341866",
"country_code": "US",
"telephone_number": "808-488-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLER",
"first_name": "EDWARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2022-08-23",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815293",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "45-602 Kamehameha Hwy",
"city": "Kaneohe",
"state": "HI",
"country_code": "US",
"postal_code": "967442017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.