Organization Active NPI

Pacific Physical Therapy

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1861934713
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PACIFIC PHYSICAL THERAPY
Practice address
1029 Kapahulu Ave
Suite 401
Honolulu, HI 96816-1332
Phone
(808) 739-1977
Fax
(808) 739-1979
NPI assigned
Nov 9, 2016
Last updated
Jun 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Authorized official

Name
Ginn C Sakagawa, MPTNPI 1760697841
Title
Owner/Physical Therapist
Phone
(808) 739-1977

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2300 HI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X HI Primary

Addresses

Primary practice location

1029 Kapahulu Ave
Suite 401
Honolulu, HI 96816-1332

Mailing address

PO Box 10327
Honolulu, HI 96816-0327
Phone (808) 739-1977

Other identifiers 1

IdentifierTypeStateIssuer
PT2300OtherHILICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170530002394 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517234263 Receives reassigned benefits from 4 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1861934713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10327",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968160327",
            "telephone_number": "808-739-1977",
            "fax_number": "808-739-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-739-1977",
            "fax_number": "808-739-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "SAKAGAWA",
        "authorized_official_first_name": "GINN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-739-1977",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT2300",
            "state": "HI"
        }
    ],
    "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 Jun 7, 2017; 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.