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

Jared Yasuo Takiguchi

Individual provider Physical Therapist · NPI 1093556888

Jared Yasuo Takiguchi is a Physical Therapist in Private Practice in Ewa Beach, Hawaii. Qualified in 2024, 2 years ago. Practices with Ewa Beach Physical Therapy LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

91-1121 Keaunui Dr Ste 203
Ewa Beach, HI 96706-6366
Phone: (808) 689-9994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093556888
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address95-326 Poiki St, Mililani, HI 96789-1884

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 Ewa Beach Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ewa Beach