Individual provider Active NPI

Ryan K. Yorimoto, DPT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1942231048
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2540 Issued in HI
Practice address
94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797
Phone
(808) 531-2244
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00010103 WA
Physical Therapist 225100000X 2540 HI Primary

Addresses

Primary practice location

94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797

Mailing address

95-1022 Meapa St
Mililani, HI 96789-5977
Phone (808) 531-2244

Other practice location 1

916 A Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000333 HI Practitioner - Physical Therapist in Private Practice 1456355908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enso Physical Therapy LLCGroup PAC ID 0648703330, 3 clinicians

Practice addresses (Care Compare)

94 -1144 Ka Uka Blvd
Suite 16
Waipahu, HI 96797-4483
Phone (808) 531-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00010103WAMDPhysical Therapist
2540HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enso Physical Therapy LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Olympic Sports and Spine Rehabilitation PS Physical Therapist Past Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

94-1144 Ka Uka Blvd
Ste 16
Waipahu, HI 96797
Phone (808) 531-2244

94-1144 Ka Uka Blvd
Ste 16
Waipahu, HI 96797
Phone (808) 531-2244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1942231048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1022 MEAPA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895977",
            "telephone_number": "808-531-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1144 KA UKA BLVD STE 16",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-531-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 A Kilani Ave",
            "address_purpose": "LOCATION",
            "city": "Wahiawa",
            "state": "HI",
            "postal_code": "96786",
            "country_code": "US",
            "telephone_number": "808-621-6400",
            "fax_number": "800-573-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORIMOTO",
        "first_name": "RYAN",
        "middle_name": "K.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010103",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2540",
            "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 Sep 30, 2024; 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.