Individual provider Active NPI

Rosemarie Tamayo Otoshi, PT, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1891124848
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40563 Issued in CA
Practice address
1401 S Beretania St Ste 700
Honolulu, HI 96814-1874
Phone
(808) 691-4211
NPI assigned
Nov 9, 2013
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 40563 CA Primary

Addresses

Primary practice location

1401 S Beretania St Ste 700
Honolulu, HI 96814-1874

Mailing address

1401 S Beretania St Ste 703
Honolulu, HI 96814-1874
Phone (808) 691-4211

Other practice location 1

1401 S Beretania St Ste 610
Honolulu, HI 96814-1873
Phone (808) 691-4211

Other practice location 2

10900 Warner Ave
Ste. 111
Fountain Valley, CA 92708-3846
Phone (714) 964-3337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209001951 HI Practitioner - Physical Therapist in Private Practice 8729218045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Jun 3, 2024 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1401 S Beretania St
Ste 610
Honolulu, HI 96814
Phone (808) 521-8165

1401 S Beretania St
Ste 700
Honolulu, HI 96814
Phone (808) 691-4211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1891124848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141874",
            "telephone_number": "808-691-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141874",
            "telephone_number": "808-691-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Beretania St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141873",
            "country_code": "US",
            "telephone_number": "808-691-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10900 Warner Ave",
            "address_2": "Ste. 111",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927083846",
            "country_code": "US",
            "telephone_number": "714-964-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTOSHI",
        "first_name": "ROSEMARIE",
        "middle_name": "TAMAYO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 25, 2024; 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.