Individual provider Active NPI

Romeo Randon Guerpo Jr., DPT, PT

  • Orthopedic Physical Therapist
  • Kapaa, HI
National Provider Identifier
1861725657
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 3116 Issued in HI
Practice address
4-1558 Kuhio Hwy Ste 4
Kapaa, HI 96746-1856
Phone
(808) 823-9300
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38041 CA
Orthopedic Physical Therapist 2251X0800X PT 3116 HI Primary

Addresses

Primary practice location

4-1558 Kuhio Hwy Ste 4
Kapaa, HI 96746-1856

Mailing address

PO Box 662004
Lihue, HI 96766-7004
Phone (808) 635-5026

Other practice location 1

21 Upper Ragsdale Dr
ste #125
Monterey, CA 93940-7831
Phone (831) 372-2963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190503000443 AZ Practitioner - Physical Therapist in Private Practice 2365784881 Reassigns benefits to 1 organization
I20190626003141 HI Practitioner - Physical Therapist in Private Practice 2365784881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3-3100 Kuhio Hwy
Suite C14
Lihue, HI 96766-1185
Phone (808) 635-5026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38041CAMDDentist
PT 3116HIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Motion Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2019 Accepting new patients
Pure Motion Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

4-1558 Kuhio Hwy
Ste 4
Kapaa, HI 96746
Phone (808) 635-5026

3-3100 Kuhio Hwy
Ste C4
Lihue, HI 96766
Phone (808) 482-0445

3-3100 Kuhio Hwy
Ste C14
Lihue, HI 96766
Phone (808) 635-5026

3-1866 Kaumualii Hwy
Lihue, HI 96766
Phone (808) 333-3688

Organizations & group practices 3

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1861725657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662004",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967667004",
            "telephone_number": "808-635-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY STE 4",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-823-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Upper Ragsdale Dr",
            "address_2": "ste #125",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939407831",
            "country_code": "US",
            "telephone_number": "831-372-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERPO",
        "first_name": "ROMEO",
        "middle_name": "RANDON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38041",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT 3116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.