Active NPI
Jinky M Nisperos, PT
- Physical Therapist
- Mililani, HI
National Provider Identifier
1982874491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2857
- Practice address
- 95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985 - Phone
- (808) 623-6244
- Fax
- (808) 623-6414
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- 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 | PT 2857 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 2857 | Other | HI | PT LICENSE |
Other names 1
- Jinky B Molina
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
95 -720 Lanikuhana Ave
Suite 140
Mililani, HI 96789-2986
Phone (808) 623-6244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2857 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mililani Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
95-720 Lanikuhana Ave
#140
Mililani, HI 96789
Phone (808) 623-6244
95-720 Lanikuhana Ave
Ste 140
Mililani, HI 96789
Phone (808) 623-6244
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
- Mililani, HI
- NPI 1902831498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1982874491",
"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": "NISPEROS",
"first_name": "JINKY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT 2857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT 2857",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JINKY",
"last_name": "MOLINA",
"middle_name": "B",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 8, 2014; 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.