Alexis Nicole Damo, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5000 Issued in HI

Practice address

1401 S Beretania St Ste 550
Honolulu, HI 96814-1880

Phone

(808) 381-8947

Fax

(800) 586-4356

NPI assigned

Feb 12, 2020

Last updated

Mar 24, 2020By the provider in NPPES

Sex

Female

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaco Rehab Waikele Limited PartnershipGroup PAC ID 2769819804, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaco Rehab Waikele Limited Partnership

  • Physical Therapist
  • Waipahu, HI
  • NPI 1629619234
  Medicare reassignment Care Compare group NPD
• Jaco Rehab Honolulu Limited Partnership

  • Physical Therapist
  • Honolulu, HI
  • NPI 1265073878
  Medicare reassignment NPD
• Jaco Rehab Kapolei Limited Partnership

  • Physical Therapist
  • Kapolei, HI
  • NPI 1437790052
  Medicare reassignment NPD
• Jaco Rehab Mililani Limited Partnership

  • Physical Therapist
  • Mililani, HI
  • NPI 1700427325
  Medicare reassignment NPD
• Jaco Rehab Kapolei, LLC

  • Physical Therapist
  • Kapolei, HI
  • NPI 1013490747
  NPD
• Jaco Rehab Mililani LLC

  • Physical Therapist
  • Mililani, HI
  • NPI 1508314089
  NPD
• Jaco Rehab Waikele LLC

  • Physical Therapist
  • Waipahu, HI
  • NPI 1811327059
  NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1871126300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "800-586-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMO",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate C Dalere
• Mark Dalere
• Aya Daley
• Tanea Mara Dalpivo, LMFT
• Damien Tavares MD, LLC (Hawaii Pain Center)
• Dan Heslinga MD LLC
• Dan Kwok, D.O., LLC
• Dan S Yoshioka M.D. Inc
• Scott A. Dandurand, CRNA
• Elizabeth Dandy, RN, CDCES

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.