Individual provider Active NPI

Eric H Kawaguchi, PT

  • Physical Therapist
  • Mililani, HI
National Provider Identifier
1982843470
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT - 1950 Issued in HI
Practice address
95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985
Phone
(808) 623-6244
Fax
(808) 623-6414
NPI assigned
Feb 6, 2009
Last updated
Mar 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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 PT - 1950 HI Primary

Addresses

Primary practice location

95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985

Mailing address

95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985
Phone (808) 623-6244

Other identifiers 1

IdentifierTypeStateIssuer
PT 1950OtherHIPT LICENSE

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

State licenses

LicenseStateTypeSpecialty
PT - 1950HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enso Physical Therapy LLC Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1982843470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAGUCHI",
        "first_name": "ERIC",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT - 1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 1950",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.