Organization Active NPI

Arakaki Physical Therapy and Sports Rehabilitation, Inc.

  • Physical Therapist
  • Hilo, HI
National Provider Identifier
1891032330
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
762 Issued in HI
Legal business name
ARAKAKI PHYSICAL THERAPY AND SPORTS REHABILITATION, INC.
Practice address
182 Mohouli St
Hilo, HI 96720-3953
Phone
(808) 969-3827
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Mr. Warren Arakaki, RPTNPI 1215909429
Title
President
Phone
(808) 969-3827

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 762 HI Primary

Addresses

Primary practice location

182 Mohouli St
Hilo, HI 96720-3953

Mailing address

182 Mohouli St
Hilo, HI 96720-3953
Phone (808) 969-3827

Other identifiers 1

IdentifierTypeStateIssuer
05578-0OtherHIHMSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130111000028 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173776622 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

182 Mohouli St
Hilo, HI 96720
Phone (808) 969-3827

Practitioners & affiliated clinicians

Practitioners 1

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": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1891032330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203953",
            "telephone_number": "808-969-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203953",
            "telephone_number": "808-969-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAKAKI PHYSICAL THERAPY AND SPORTS REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ARAKAKI",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-969-3827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "05578-0",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.