Mylene Motomura

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4384 Issued in HI

Practice address

360 Hoohana St Ste A102
Kahului, HI 96732-2975

Phone

(808) 667-6161

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RP Medical LLCGroup PAC ID 3779877485, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RP Medical LLC

  dba Minit Medical Urgent Care Center

  • Urgent Care Clinic/Center
  • Kahului, HI
  • NPI 1982094652
  Medicare reassignment Care Compare group NPD
• Elite Physical Therapy and Sports

  • Physical Therapist
  • Makawao, HI
  • NPI 1235180811
  Medicare reassignment NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1902328792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 APUWAI ST",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967084814",
            "telephone_number": "808-866-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HOOHANA ST STE A102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322975",
            "telephone_number": "808-667-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Makawao Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "967689411",
            "country_code": "US",
            "telephone_number": "808-572-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTOMURA",
        "first_name": "MYLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Sigfredo Morales, LMT
• Jazmine Alexis Moreno, DPT
• Rebecca Jane Moriconi, LSW
• Hollingsworth C Morton
• Dillon U Moss, DPM
• Susan Muller, RBT
• Natasha Victoria Murray, APRN-RX
• James E Muto, MD
• Sabie Nacua, RBT
• Randie Ann Nagao, PHARM.D.

• Physical Therapist in Kahului, HI
• Providers in Kahului, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.