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

Jason Brenner, PT

Individual provider Physical Therapist · NPI 1861267767

Jason Brenner, PT is a Physical Therapist in Private Practice in Kapolei, Hawaii. Qualified in 2022, 4 years ago. Practices with Elam Sports Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
4
Licensed in
HI
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

91-1027 Shangrila St Bldg 1867
Kapolei, HI 96707-2101
Phone: (808) 674-9595
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (HI)

Record details

NPI number1861267767
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address91-423 Pupu St, Ewa Beach, HI 96706-2358

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Elam Sports Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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