JANE CHA TATEISHI (PT, DPT) – Physical Therapist, NPI 1205333846

JANE CHA TATEISHI (PT, DPT) is a healthcare provider. based in Waipahu, Hawaii. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT4774 (HI). The NPI Number for JANE CHA TATEISHI (PT, DPT) is 1205333846

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JANE CHA TATEISHI (PT, DPT)
NPI
1205333846
Phone
(808) 680-9123
Address
94-801 FARRINGTON HWY STE W2
Enumeration Date
10 April 2018
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
1658636352
Group Practice PAC ID
6406747351
Professional Enrollment ID
I20200806002403
Address ID
HI967973149Wa94801W2XX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

615 PHYSICAL THERAPIST IN PRIVATE PRACTICE in HI

Provider Addresses for JANE CHA TATEISHI (PT, DPT)

  • 94-801 FARRINGTON HWY STE W2

    WAIPAHU, HI 967973149

    Phone: (808) 680-9123

    Type: Mailing

  • American Martial Arts Academy, 1027, North Harbor Boulevard, Downtown Fullerton, Fullerton, Orange County, California, 92832, United States

    FULLERTON, CA 928321362

    Phone: (714) 870-8478

    Type: Location

  • 3300 W LINCOLN AVE APT 118

    ANAHEIM, CA 928016076

    Phone: (714) 356-8955

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200806002403IPhysical Therapist In Private PracticeHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97113Therapy procedure using water pool to exercises, each 15 minutes31021$0
97530Therapy procedure using functional activities24331$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17429$0
97164Re-evaluation for physical therapy, typically 20 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 96797)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406747351View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

Is JANE CHA TATEISHI (PT, DPT) listed with a National Provider Identifier?
Yes — JANE CHA TATEISHI (PT, DPT) has NPI 1205333846 on file in the registry.
Is JANE CHA TATEISHI (PT, DPT) still an active registrant?
JANE CHA TATEISHI (PT, DPT) carries an active NPI according to the public dataset.
What expertise is attributed to JANE CHA TATEISHI (PT, DPT)?
JANE CHA TATEISHI (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Hawaii is JANE CHA TATEISHI (PT, DPT) registered?
Use Waipahu, Hawaii as the headline location for JANE CHA TATEISHI (PT, DPT) here.
When was this NPI issued?
Enumeration for JANE CHA TATEISHI (PT, DPT) is noted as April 10, 2018 where the registry provides it.

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