Active NPI
Diana Jhamae Labrador Simon, PTA
- Physical Therapy Assistant
- Waipahu, HI
National Provider Identifier
1922548668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-346
- Practice address
- 94-216 Farrington Hwy Box202
Waipahu, HI 96797 - Phone
- (808) 600-9147
- Fax
- (800) 942-7053
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-346 | HI | Primary |
Addresses
Primary practice location
94-216 Farrington Hwy Box202
Waipahu, HI 96797
Mailing address
94-099 Waipahu St Apt A212
Waipahu, HI 96797-1712
Phone (808) 600-9147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-346 | HI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1922548668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-099 WAIPAHU ST APT A212",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971712",
"telephone_number": "808-600-9147",
"fax_number": "800-942-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-216 FARRINGTON HWY BOX202",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "96797",
"telephone_number": "808-600-9147",
"fax_number": "800-942-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "DIANA JHAMAE",
"middle_name": "LABRADOR",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "HI",
"license": "PTA-346",
"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 Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.