Individual provider Active NPI

Youhei Imoto

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1992948871
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3948 Issued in HI
Practice address
120 Kaiulani Ave
# 10&11
Honolulu, HI 96815-6203
Phone
(917) 754-5297
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 3948 HI Primary

Addresses

Primary practice location

120 Kaiulani Ave
# 10&11
Honolulu, HI 96815-6203

Mailing address

PO Box 89097
Honolulu, HI 96830-7097
Phone (808) 304-6676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413000510 HI Practitioner - Physical Therapist in Private Practice 2567765837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Kaiulani Ave
Suite 10And11
Honolulu, HI 96815-6203
Phone (808) 304-6676

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3948HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imoto Mobile Therapy LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients

Locations

120 Kaiulani Ave
Ste 10811
Honolulu, HI 96815

120 Kaiulani Ave
Ste 10AND11
Honolulu, HI 96815
Phone (808) 304-6676

120 Kaiulani Ave
#1811
Honolulu, HI 96815

120 Kaiulani Ave
#1011
Honolulu, HI 96815
Phone (808) 304-6676

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1992948871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89097",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968307097",
            "telephone_number": "808-304-6676",
            "fax_number": "808-800-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KAIULANI AVE",
            "address_2": "# 10&11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156203",
            "telephone_number": "917-754-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMOTO",
        "first_name": "YOUHEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3948",
            "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 Apr 6, 2023; 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.

Verify at the official NPI Registry.