Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Ketelsen, DPT

Individual provider Physical Therapy Clinic/Center · NPI 1215598586

Derek Ketelsen, DPT is a Physical Therapy Clinic/Center in Honolulu, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.

Licensed in
HI
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

800 S King St
Honolulu, HI 96813-3010
Phone: (563) 212-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 4648 (HI)

Record details

NPI number1215598586
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 26, 2019
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address800 S King St, Honolulu, HI 96813-3010

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