Johanna Anagaran, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4521 Issued in HI

Practice address

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388

Phone

(808) 373-3555

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johanna Cloos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthosport Physical Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Honolulu, HI
  • NPI 1811585524
  NPD

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1962995472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 MANOA RD APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221298",
            "telephone_number": "808-462-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 KALANIANAOLE HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212388",
            "telephone_number": "808-373-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Keawe St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135997",
            "country_code": "US",
            "telephone_number": "808-373-3555",
            "fax_number": "808-373-3666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 Fort St Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133823",
            "country_code": "US",
            "telephone_number": "808-373-3555",
            "fax_number": "808-373-3666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAGARAN",
        "first_name": "JOHANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT4521",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "CLOOS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sujin An
• Ana M Digao, MD
• Carolyn N Anacan, L.M.T.
• Annabel P Anae, M.C.D. AU
• Antonio T Anagaran Jr., MA, MFA
• Analytic Lab Systems Inc
• Anastasha Maria Healing Arts LLC
• Lorene Mary Anastasi, MD
• Alysa Leigh Ancheta-Garber, OTR
• Jenny Rose Cristobal Ancheta

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.