Individual provider Active NPI

Ryan Kazutoshi Uyeno, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1992422570
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5524 Issued in HI
Practice address
677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417
Phone
(808) 734-0010
Fax
(808) 734-0013
NPI assigned
Oct 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 PT-5524 HI Primary

Addresses

Primary practice location

677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417

Mailing address

677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417
Phone (808) 734-0010

Other identifiers 1

IdentifierTypeStateIssuer
PT-5524OtherHIHAWAII STATE PHYSICAL THERAPY LICENSE PT-5524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207000698 HI Practitioner - Physical Therapist in Private Practice 6608245014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gesik Physical Therapy LLC CurrentSince Nov 16, 2022 Accepting new patients

Locations

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

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1992422570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "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": "677 ALA MOANA BLVD STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYENO",
        "first_name": "RYAN",
        "middle_name": "KAZUTOSHI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE PHYSICAL THERAPY LICENSE PT-5524",
            "identifier": "PT-5524",
            "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 Oct 24, 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.