Active NPI
Kevin DO, DPT
- Physical Therapist
- Aiea, HI
National Provider Identifier
1871237503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5390
- Practice address
- 98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339 - Phone
- (808) 450-9250
- NPI assigned
- Apr 27, 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 | 5390 | HI | Primary |
Addresses
Primary practice location
98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339
Mailing address
35 N Kukui St Apt 3310
Honolulu, HI 96817-4166
Phone (808) 426-8859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5390 | HI | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1871237503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 N KUKUI ST APT 3310",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174166",
"telephone_number": "808-426-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-211 PALI MOMI ST STE 707",
"city": "AIEA",
"state": "HI",
"postal_code": "967014339",
"telephone_number": "808-450-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "5390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.