Individual provider Active NPI

Patrick Darren Kenji Gesik, D.P.T.

  • Physical Medicine & Rehabilitation Physician
  • Honolulu, HI
National Provider Identifier
1992019848
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
06302 Issued in OR
Practice address
1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332
Phone
(808) 734-0010
Fax
(808) 734-0013
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 06302 OR Primary

Addresses

Primary practice location

1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332

Mailing address

1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332
Phone (808) 734-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000683 HI Practitioner - Physical Therapist in Private Practice 9739364084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06302ORMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gesik Physical Therapy LLC CurrentSince Jul 8, 2013 Accepting new patients
McKenzie Crossing Orthopedic Physical Therapy Inc PastSince Jan 1, 2001 Accepting new patients

Locations

1029 Kapahulu Ave
Ste 401
Honolulu, HI 96816
Phone (808) 218-7888

677 Ala Moana Blvd
Ste 725
Honolulu, HI 96813
Phone (808) 556-5900

Organizations & group practices 2

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1992019848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESIK",
        "first_name": "PATRICK",
        "middle_name": "DARREN KENJI",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "06302",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 16, 2013; 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.