NPIMap

Organization Active NPI

Enso Physical Therapy LLC

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1992554141
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ENSO PHYSICAL THERAPY LLC
Practice address
94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797-4483
Phone
(808) 531-2244
NPI assigned
May 17, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mr. Ryan YorimotoNPI 1942231048
Title
Manager
Phone
(808) 561-3980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

94-1144 Ka Uka Blvd Ste 16
Waipahu, HI 96797-4483

Mailing address

95-1022 Meapa St
Mililani, HI 96789-5977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104000240 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648703330 Receives reassigned benefits from 4 practitioners
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Locations

94-1144 Ka Uka Blvd
Ste 16
Waipahu, HI 96797
Phone (808) 531-2244

94-1144 Ka Uka Blvd
Ste 16
Waipahu, HI 96797
Phone (808) 531-2244

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1992554141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1022 MEAPA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1144 KA UKA BLVD STE 16",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974483",
            "telephone_number": "808-531-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "YORIMOTO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-561-3980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.