Individual provider Active NPI

Jonnelle Guia Querido, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1891558979
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5843 Issued in HI
Practice address
First Physical & Functional Rehab
94-370 Pupupani St.
Waipahu, HI 96797
Phone
(808) 676-7700
NPI assigned
Feb 1, 2024
Last updated
Jan 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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 5843 HI Primary

Addresses

Primary practice location

First Physical & Functional Rehab
94-370 Pupupani St.
Waipahu, HI 96797

Mailing address

First Physical & Functional Rehab
94-370 Pupupani St.
Waipahu, HI 96797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417001149 HI Practitioner - Physical Therapist in Private Practice 4981043494 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wahiawa Rehab Services IncGroup PAC ID 5496646283, 6 clinicians
Waianae Valley Physical Therapy IncGroup PAC ID 1355231770, 6 clinicians
Waipahu Physical Therapy IncGroup PAC ID 5597656694, 4 clinicians

Practice addresses (Care Compare)

735 California Ave
Wahiawa, HI 96786-1935
Phone (808) 628-9988

85-885 Farrington Hwy
Waianae, HI 96792-2440
Phone (808) 696-4964

94 -370 Pupupani St
Waipahu, HI 96797-2657
Phone (808) 676-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5843HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waipahu Physical Therapy, Inc Multi-Specialty CurrentSince Feb 16, 2024 Accepting new patients
Wahiawa Rehab Services Inc Multi-Specialty CurrentSince Feb 16, 2024 Accepting new patients
Waianae Valley Physical Therapy, Inc. Multi-Specialty CurrentSince Feb 16, 2024 Accepting new patients
Professional Rehab Therapy, LLC Multi-Specialty CurrentSince Jun 17, 2025 Accepting new patients

Locations

735 California Ave
Wahiawa, HI 96786
Phone (808) 628-9988

85-885 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-4764

94-370 Pupupani St
Waipahu, HI 96797
Phone (808) 676-7700

Organizations & group practices 4

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1891558979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FIRST PHYSICAL & FUNCTIONAL REHAB",
            "address_2": "94-370 PUPUPANI ST.",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST PHYSICAL & FUNCTIONAL REHAB",
            "address_2": "94-370 PUPUPANI ST.",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-676-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERIDO",
        "first_name": "JONNELLE",
        "middle_name": "GUIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.