Active NPI
Geoffrey Yoshiaki Kunita, DPT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1952967333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 17770 SE Mill Plain Blvd
Suite 190
Vancouver, WA 98683 - Phone
- (360) 260-4749
- NPI assigned
- May 11, 2019
- Sex
- Male
- 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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
17770 SE Mill Plain Blvd
Suite 190
Vancouver, WA 98683
Mailing address
17907 NE 78TH Way
Vancouver, WA 98682-1536
Phone (808) 265-8877
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosport Physical Therapy | Current | Accepting new patients |
Locations
5722 Kalanianaole Hwy
Lowr
Honolulu, HI 96821
Phone (808) 373-3555
5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Honolulu, HI
- NPI 1811585524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1952967333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17907 NE 78TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986821536",
"telephone_number": "808-265-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17770 SE MILL PLAIN BLVD",
"address_2": "SUITE 190",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98683",
"telephone_number": "360-260-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNITA",
"first_name": "GEOFFREY",
"middle_name": "YOSHIAKI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-11",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "17770 SE Mill Plain Blvd",
"address_2": "Suite 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "98683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.