Active NPI
Kevin F Lockette, R.P.T.
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1982797411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1258
- Practice address
- 1314 South King Street
Suite 1451
Honolulu, HI 96814 - Phone
- (808) 593-2610
- Fax
- (808) 591-9420
- NPI assigned
- Oct 2, 2006
- 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 | 1258 | HI | Primary |
Addresses
Primary practice location
1314 South King Street
Suite 1451
Honolulu, HI 96814
Mailing address
481-C Kawailoa Road
Kailua, HI 96734
Phone (808) 261-1514
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137318 | Other | HI | UHA 99033202001 |
| 193484 | Other | HI | HMA |
| 49355200 | Other | HI | ALOHA CARE |
| F0226446 | Other | HI | TRICARE KAI |
| A22644-7 | Other | HI | HNL HMSA PPO/HMO/QST/65C |
| 49355204 | Medicaid | HI | |
| A22644-7 | Other | HI | TRICARE HNL |
| 49355201 | Medicaid | HI | |
| F0226446 | Other | HI | KAI HMSA PPO/HMO/QST/65C |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohana Pacific Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
354 Uluniu St
Ste 404
Kailua, HI 96734
Phone (808) 262-1118
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.
-
- Physical Therapist
- Kailua, HI
- NPI 1972673093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982797411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481-C KAWAILOA ROAD",
"city": "KAILUA",
"state": "HI",
"postal_code": "96734",
"telephone_number": "808-261-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 SOUTH KING STREET",
"address_2": "SUITE 1451",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-593-2610",
"fax_number": "808-591-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKETTE",
"first_name": "KEVIN",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "1258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA 99033202001",
"identifier": "0137318",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA",
"identifier": "193484",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHA CARE",
"identifier": "49355200",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE KAI",
"identifier": "F0226446",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNL HMSA PPO/HMO/QST/65C",
"identifier": "A22644-7",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49355204",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE HNL",
"identifier": "A22644-7",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49355201",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAI HMSA PPO/HMO/QST/65C",
"identifier": "F0226446",
"state": "HI"
}
],
"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 Jul 21, 2022; 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.