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

Mr. Theron Ogata, PT

Individual provider Physical Therapist · NPI 1437292240

Mr. Theron Ogata, PT is a Physical Therapist in Private Practice in Kailua Kona, Hawaii. Qualified in 1999, 27 years ago. Practices with Club Rehab, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
27
Licensed in
HI
In the registry since
2007
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

75-5699 Kopiko St
Kailua Kona, HI 96740-1668
Phone: (808) 329-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1906 (HI)

Record details

NPI number1437292240
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESFebruary 8, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Club Rehab, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua Kona