Organization Active NPI

Mana Physical Therapy Inc.

  • Physical Therapist
  • Waikoloa, HI
National Provider Identifier
1942629241
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MANA PHYSICAL THERAPY INC.
Practice address
68-1845 Waikoloa Rd
Suite 211
Waikoloa, HI 96738
Phone
(808) 883-3400
Fax
(808) 883-3440
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Mr. Jonathan Soriano Camacaylan, DPTNPI 1629207956
Title
Ceo
Phone
(808) 883-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

68-1845 Waikoloa Rd
Suite 211
Waikoloa, HI 96738

Mailing address

68-1845 Waikoloa Rd
Suite 106 # 220
Waikoloa, HI 96738
Phone (808) 883-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140904002484 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941428932 Receives reassigned benefits from 3 practitioners
Practice locations: Waikoloa, HI

National Provider Directory

National Provider Directory

Locations

65-1230 Mamalahoa Hwy
Ste E11
Kamuela, HI 96743
Phone (808) 885-7131

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1942629241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA RD",
            "address_2": "SUITE 106 # 220",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-3400",
            "fax_number": "808-883-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA RD",
            "address_2": "SUITE 211",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-3400",
            "fax_number": "808-883-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "CAMACAYLAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SORIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-883-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waikoloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.