Individual provider Active NPI

Katherine M Tatsuno, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1902194145
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3389 Issued in HI
Practice address
1120 12TH Ave Ste 302
Honolulu, HI 96816-3790
Phone
(808) 734-4043
Fax
(808) 737-7247
NPI assigned
Jul 20, 2011
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 PT 3389 HI Primary

Addresses

Primary practice location

1120 12TH Ave Ste 302
Honolulu, HI 96816-3790

Mailing address

1120 12TH Ave Ste 302
Honolulu, HI 96816-3790
Phone (808) 734-4043

Other practice location 1

94-1388 Moaniani St Ste 243
Waipahu, HI 96797-6606
Phone (808) 744-5161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312000113 HI Practitioner - Physical Therapist in Private Practice 8325387277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fysiotherapie Hawaii IncGroup PAC ID 7012014046, 11 clinicians

Practice addresses (Care Compare)

1120 12TH Ave
Suite 302
Honolulu, HI 96816-3790
Phone (808) 734-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3389HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fysiotherapie Hawaii Inc Physical Therapist CurrentSince Aug 15, 2018 Accepting new patients

Locations

1120 12th Ave
Ste 302
Honolulu, HI 96816
Phone (808) 734-4043

94-1388 Moaniani St
Ste 243
Waipahu, HI 96797
Phone (601) 641-9594

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1902194145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 12TH AVE STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163790",
            "telephone_number": "808-734-4043",
            "fax_number": "808-737-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 12TH AVE STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163790",
            "telephone_number": "808-734-4043",
            "fax_number": "808-737-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1388 Moaniani St Ste 243",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967976606",
            "country_code": "US",
            "telephone_number": "808-744-5161",
            "fax_number": "808-744-6639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATSUNO",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 3389",
            "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 Oct 9, 2018; 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.