Active NPI
Jesse Roger Pasag, P.T., D.P.T.
- Physical Therapist
- Kalaheo, HI
National Provider Identifier
1962699694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3186
- Practice address
- 2-2514 Kaumualii Hwy
211
Kalaheo, HI 96741-8303 - Phone
- (808) 495-8668
- Fax
- (808) 495-8669
- NPI assigned
- Sep 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33833 | CA | |
| Physical Therapist | 225100000X | 3186 | HI | Primary |
Addresses
Primary practice location
2-2514 Kaumualii Hwy
211
Kalaheo, HI 96741-8303
Mailing address
2-2514 Kaumualii Hwy
211
Kalaheo, HI 96741-8303
Phone (808) 495-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2-2514 Kaumualii Hwy
Suite 211
Kalaheo, HI 96741-8304
Phone (808) 495-8668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33833 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation and Orthopedic Center of Kauai | Physical Therapist | Current | Accepting new patients |
| Hawaii Sports and Balance Center | Physical Therapist | Past | Accepting new patients |
Locations
2-2514 Kaumualii Hwy
Ste 211
Kalaheo, HI 96741
Phone (808) 495-8668
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Kalaheo, HI
- NPI 1538523311
Physical Therapist
-
- Physical Therapist
- Lihue, HI
- NPI 1639333180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1962699694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2-2514 KAUMUALII HWY",
"address_2": "211",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418303",
"telephone_number": "808-495-8668",
"fax_number": "808-495-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-2514 KAUMUALII HWY",
"address_2": "211",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418303",
"telephone_number": "808-495-8668",
"fax_number": "808-495-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASAG",
"first_name": "JESSE",
"middle_name": "ROGER",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33833",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalaheo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.