James Thibodeau, PT, DPT, CSCS, TPI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4632 Issued in HI

Practice address

599 Farrington Hwy Ste 102
Kapolei, HI 96707-2028

Phone

(808) 674-1142

NPI assigned

Jan 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Institute of Physical Therapy IncGroup PAC ID 2668771999, 9 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.

• Advanced Institute of Physical Therapy Inc

  • Physical Therapist
  • Waipahu, HI
  • NPI 1730545344
  Medicare reassignment Care Compare group NPD
• Action Rehab Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1588710859
  Medicare reassignment NPD
• Core Sports Analysis LLC

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1043600232
  Medicare reassignment NPD
• Core Sports Honolulu LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1538792742
  Medicare reassignment NPD

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1932566254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 102",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-674-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3327 E Toni Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917913030",
            "country_code": "US",
            "telephone_number": "626-483-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS, TPI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-16",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10492",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Family Doctor
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• The Luxsa Thai Massage LLC
• Thant Z Thein, DPT
• Therohana LLC
• Nicole N Thomas, DPT
• Tiffany Tanaka, MFT, LLC
• Jennie Tinhin, LMT
• Tish Campbell, LLC
• McKenna Torcato

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, 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 18, 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.