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

Tyler Ishimoto, DPT

Individual provider Physical Therapist · NPI 1548043672

Tyler Ishimoto, DPT is a Physical Therapist in Private Practice in Makawao, Hawaii. Qualified in 2023, 3 years ago. Practices with Elite Physical Therapy and Sports, a 4-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
3
Licensed in
HI
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1043 Makawao Ave
Makawao, HI 96768-9465
Phone: (808) 572-7790
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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 T-001086412 (HI)

Record details

NPI number1548043672
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address11 Kaweo Pl, Kula, HI 96790-7939

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elite Physical Therapy And Sports — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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