Active NPI
Tai Patrick Vuong, OTD, OTR/L
- Occupational Therapist
- Honolulu, HI
National Provider Identifier
1881262814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00978300
- Practice address
- 5113 Maunalani Cir
Honolulu, HI 96816-4019 - Phone
- (808) 732-0771
- NPI assigned
- Jun 15, 2021
- Last updated
- Oct 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0012249 | DE | |
| Occupational Therapist | 225X00000X | 46TR00978300 | NJ | Primary |
Addresses
Primary practice location
5113 Maunalani Cir
Honolulu, HI 96816-4019
Mailing address
187 Yorktown Road
Woolwich TWP, GLOUCESTER 08085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q1S123302441001 | Other | NJ | AMERIHEALTH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0012249 | DE | MD | Occupational Therapist |
| 46TR00978300 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1881262814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 YORKTOWN ROAD",
"city": "WOOLWICH TWP",
"state": "GLOUCESTER",
"postal_code": "08085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5113 MAUNALANI CIR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164019",
"telephone_number": "808-732-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "TAI",
"middle_name": "PATRICK",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-15",
"last_updated": "2022-10-28",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0012249",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00978300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "Q1S123302441001",
"state": "NJ"
}
],
"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 Oct 28, 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.