Individual provider Active NPI

Kevin F Lockette, R.P.T.

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1982797411
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1258 Issued in HI
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

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
0137318OtherHIUHA 99033202001
193484OtherHIHMA
49355200OtherHIALOHA CARE
F0226446OtherHITRICARE KAI
A22644-7OtherHIHNL HMSA PPO/HMO/QST/65C
49355204MedicaidHI
A22644-7OtherHITRICARE HNL
49355201MedicaidHI
F0226446OtherHIKAI HMSA PPO/HMO/QST/65C

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000147 HI Practitioner - Physical Therapist in Private Practice 4284537465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1258HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohana Pacific Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 1, 2001 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.

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.

Verify at the official NPI Registry.