Individual provider Active NPI

Harry San Esteban Canaba, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1942996962
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5171 Issued in HI
Practice address
742 Wiliwili St
Honolulu, HI 96826-4120
Phone
(808) 291-1042
NPI assigned
Apr 13, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5171 HI Primary

Addresses

Primary practice location

742 Wiliwili St
Honolulu, HI 96826-4120

Mailing address

742 Wiliwili St
Honolulu, HI 96826-4120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003904 HI Practitioner - Physical Therapist in Private Practice 7012357452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5171HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enphysio LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Mar 16, 2024 Accepting new patients

Locations

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1942996962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 WILIWILI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 WILIWILI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264120",
            "telephone_number": "808-291-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANABA",
        "first_name": "HARRY",
        "middle_name": "SAN ESTEBAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.