Orthosport Hawaii, Llc | |
5722 Kalanianaole Hwy, Honolulu, HI 96821-2388 | |
(808) 373-3555 | |
(808) 373-3666 |
Full Name | Orthosport Hawaii, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 5722 Kalanianaole Hwy, 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 |
---|---|---|---|
1619147543 | NPI | - | NPPES |
103533 | Other | HI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | PT2402 (Hawaii) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | PT2402 (Hawaii) | Primary |
Provider Name | Michael D Turner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316019581 PECOS PAC ID: 7113994781 Enrollment ID: I20040913001408 |
Provider Name | Aaron P Sekulich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538657366 PECOS PAC ID: 4183665276 Enrollment ID: I20050519000053 |
Provider Name | Elizabeth A Cheng-leever |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750477345 PECOS PAC ID: 0042228637 Enrollment ID: I20060323000245 |
Provider Name | Jill Dietmeyer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013260876 PECOS PAC ID: 3274846936 Enrollment ID: I20150723008932 |
Provider Name | Devon E Mccord |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881069656 PECOS PAC ID: 8123329638 Enrollment ID: I20151228002039 |
Provider Name | Dana L Hester |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720130099 PECOS PAC ID: 5698072478 Enrollment ID: I20160322000903 |
Provider Name | Kay Y Kitazumi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891153037 PECOS PAC ID: 9436438942 Enrollment ID: I20161123001804 |
Provider Name | Derek Chun |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548630270 PECOS PAC ID: 7517263486 Enrollment ID: I20170705001419 |
Provider Name | Dexter Minh Dai |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710311857 PECOS PAC ID: 8325315393 Enrollment ID: I20170920001659 |
Provider Name | Kassidy Rede |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548781826 PECOS PAC ID: 4880953033 Enrollment ID: I20180115000529 |
Provider Name | Daniela N Roark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831592757 PECOS PAC ID: 8123344322 Enrollment ID: I20181204003295 |
Provider Name | Andrea C Wooding |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316371909 PECOS PAC ID: 5193955573 Enrollment ID: I20181205003618 |
Provider Name | Seth D Conway |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326689175 PECOS PAC ID: 5395179337 Enrollment ID: I20200114001890 |
Provider Name | Geoffrey Yoshiaki Kunita |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952967333 PECOS PAC ID: 4688009962 Enrollment ID: I20200114002724 |
Provider Name | Rebecca Lee Rakestraw |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841500147 PECOS PAC ID: 9234350927 Enrollment ID: I20200311001146 |
Provider Name | Kirsten Conway |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336741958 PECOS PAC ID: 0143630525 Enrollment ID: I20201113002463 |
Provider Name | Jensen Namilimili Hiroshi Tsuruda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285225284 PECOS PAC ID: 4385050764 Enrollment ID: I20210309003154 |
Provider Name | Ryan Benedict |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346766490 PECOS PAC ID: 4082964846 Enrollment ID: I20210407002787 |
Provider Name | Tasha Connolly |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225672777 PECOS PAC ID: 7517299191 Enrollment ID: I20210609002248 |
Provider Name | Philip Rudge Manuel Arca |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528594439 PECOS PAC ID: 5597038877 Enrollment ID: I20210622002881 |
Provider Name | Tristan Besa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073129193 PECOS PAC ID: 7618387770 Enrollment ID: I20220112001920 |
Provider Name | Ronald K Mimaki |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134135072 PECOS PAC ID: 9739121765 Enrollment ID: I20220126001335 |
Provider Name | Christine Matsuda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023763950 PECOS PAC ID: 8729473160 Enrollment ID: I20220321002207 |
Provider Name | Joshua Michael Schien |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629793666 PECOS PAC ID: 6305214453 Enrollment ID: I20221121001154 |
Provider Name | Corey Stephen Mcleod |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174238158 PECOS PAC ID: 2769854942 Enrollment ID: I20230216001552 |
Provider Name | Blair William Butler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659079275 PECOS PAC ID: 7113392234 Enrollment ID: I20230403001998 |
Provider Name | Savannah-rae Sherry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578142527 PECOS PAC ID: 6204292261 Enrollment ID: I20230517000512 |
Provider Name | Alicia Midori Taylor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407546427 PECOS PAC ID: 3779940721 Enrollment ID: I20230606002487 |
Provider Name | Eamon Kame Iha Campbell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811674823 PECOS PAC ID: 1456712934 Enrollment ID: I20230731003302 |
Provider Name | Paige Nicole Rubey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427834258 PECOS PAC ID: 8729434717 Enrollment ID: I20231027000062 |
Provider Name | Skyler Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083317556 PECOS PAC ID: 2668829557 Enrollment ID: I20231115000430 |
Provider Name | Kevin Mclain |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093583676 PECOS PAC ID: 9436598224 Enrollment ID: I20240412001053 |
Provider Name | Nina Esme Davis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811636327 PECOS PAC ID: 0244616324 Enrollment ID: I20240412002404 |
Mailing Address | Practice Location Address |
---|---|
Orthosport Hawaii, Llc 5216 Hao Pl Apt A, Honolulu, HI 96821-1653 Ph: (808) 358-3881 | Orthosport Hawaii, Llc 5722 Kalanianaole Hwy, Honolulu, HI 96821-2388 Ph: (808) 373-3555 |
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 |