Individual provider Active NPI

Kay Kitazumi, P.T.

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1891153037
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1972 Issued in HI
Practice address
5722 Kalanianaole Hwy
Honolulu, HI 96821-2388
Phone
(808) 373-3555
Fax
(808) 373-3666
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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 PT1972 HI Primary

Addresses

Primary practice location

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388

Mailing address

170 Niuiki Cir
Honolulu, HI 96821-2349
Phone (808) 351-6659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001804 HI Practitioner - Physical Therapist in Private Practice 9436438942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosport Hawaii, LLCGroup PAC ID 5890872634, 25 clinicians

Practice addresses (Care Compare)

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388
Phone (808) 373-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1972HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Physical Therapy CurrentSince Jan 10, 2021 Accepting new patients
Orthosport Hawaii, LLC CurrentSince Feb 10, 2016 Accepting new patients

Locations

5722 Kalanianaole Hwy
Lowr
Honolulu, HI 96821
Phone (808) 373-3555

745 Fort St
Ste 116
Honolulu, HI 96813
Phone (808) 373-3555

5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1891153037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NIUIKI CIR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212349",
            "telephone_number": "808-351-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 KALANIANAOLE HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212388",
            "telephone_number": "808-373-3555",
            "fax_number": "808-373-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAZUMI",
        "first_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT1972",
            "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 Feb 2, 2016; 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.