| Physical Therapy Associates, Llc | |
|
770 Kapiolani Blvd, Suite 104, Honolulu, HI 96813-5212 | |
| (808) 596-9446 | |
| (808) 596-9160 |
| Full Name | Physical Therapy Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 770 Kapiolani Blvd, Honolulu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710029012 | NPI | - | NPPES |
| 209006700 | Other | HI | OWCP PROVIDER NUMBER |
| Z1654 | Other | HI | MDX PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | W40062604-01 (Hawaii) | Primary |
| Provider Name | Paul K Matsumoto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588724819 PECOS PAC ID: 0840275814 Enrollment ID: I20040625000042 |
| Provider Name | Bryan T Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881744225 PECOS PAC ID: 6103801170 Enrollment ID: I20040625000048 |
| Provider Name | Nina Kondo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710350194 PECOS PAC ID: 9830494244 Enrollment ID: I20160223001840 |
| Provider Name | Jacob Nicholas Eustaquio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205491297 PECOS PAC ID: 3870912660 Enrollment ID: I20200928002950 |
| Provider Name | Alyssa A Kano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902324825 PECOS PAC ID: 8426322876 Enrollment ID: I20210617001420 |
| Provider Name | Rachel Miyoga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194451229 PECOS PAC ID: 5193109262 Enrollment ID: I20220908003412 |
| Provider Name | Cody Isaiah Aradanas Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154045276 PECOS PAC ID: 9032584735 Enrollment ID: I20230411002501 |
| Provider Name | Catherine Ching |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023791951 PECOS PAC ID: 9638533581 Enrollment ID: I20230912001581 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Associates, Llc 770 Kapiolani Blvd, Suite 104, Honolulu, HI 96813-5212 Ph: (808) 596-9446 | Physical Therapy Associates, Llc 770 Kapiolani Blvd, Suite 104, Honolulu, HI 96813-5212 Ph: (808) 596-9446 |
Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728 | |
Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333 | |
Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160 | |
Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557 | |
Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921 | |
Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581 | |
Jonathan Kaminaka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000 |