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

Jake Barancho

Individual provider Physical Therapist · NPI 1003630476

Jake Barancho is a Physical Therapist in Private Practice in Kapolei, Hawaii. Qualified in 2024, 2 years ago. Practices with PT Hawaii Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
2
Licensed in
HI
In the registry since
2024

Practice location Address checks out

599 Farrington Hwy Ste 2
Kapolei, HI 96707-2028
Phone: (808) 680-9123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6039 (HI)

Record details

NPI number1003630476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 12, 2024
Mailing address3055 Lakimau St, Honolulu, HI 96815-4210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pt Hawaii Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kapolei