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

Tara Ito

Individual provider Physical Therapist · NPI 1598425498

Tara Ito is a Physical Therapist in Private Practice in Kapolei, Hawaii. Qualified in 2021, 5 years ago. Practices with Core Sports Analysis LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
5
Licensed in
HI
In the registry since
2021
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Practice location Address checks out

599 Farrington Hwy Ste 102
Kapolei, HI 96707-2028
Phone: (808) 674-1142
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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-5320-0 (HI)

Record details

NPI number1598425498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address599 Farrington Hwy Ste 102, Kapolei, HI 96707-2028

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Core Sports Analysis Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kapolei