Individual provider Active NPI

Mark Yanai, PT

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1871690784
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2558 Issued in HI
Practice address
45-461 Pua Inia St
Kaneohe, HI 96744-2937
Phone
(808) 235-5398
Fax
(808) 235-6359
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2558 HI Primary

Addresses

Primary practice location

45-461 Pua Inia St
Kaneohe, HI 96744-2937

Mailing address

407 Uluniu St Ste 301
Kailua, HI 96734-2544
Phone (808) 261-4321

Other identifiers 1

IdentifierTypeStateIssuer
574550MedicaidHI

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

LicenseStateTypeSpecialty
4374AZMDFamily Medicine Physician
2558HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince Oct 17, 2005 Accepting new patients
Petersen Physical Therapy PC PastSince Jan 1, 2004 Accepting new patients

Locations

91-3257 Kualakai Pkwy
Ewa Beach, HI 96706

405 N Kuakini St
Ste 701
Honolulu, HI 96817
Phone (808) 234-5353

405 N Kuakini St
Ste 1101
Honolulu, HI 96817
Phone (808) 533-0400

1040 Richards St
Honolulu, HI 96813

407 Uluniu St
Ste 301
Kailua, HI 96734
Phone (808) 261-4321

45-035 Kaneohe Bay Dr
Ste A
Kaneohe, HI 96744
Phone (808) 234-5353

45-461 Pua Inia St
Kaneohe, HI 96744
Phone (808) 235-5398

45-035 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 234-5353

45-035 Kaneohe Bay Dr
#A
Kaneohe, HI 96744
Phone (808) 234-5353

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1871690784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 301",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342544",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-461 PUA INIA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442937",
            "telephone_number": "808-235-5398",
            "fax_number": "808-235-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAI",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574550",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "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 Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.