MR. KAMERON T KANESHINA (DPT) – Physical Therapist, NPI 1336604131

MR. KAMERON T KANESHINA (DPT) is a healthcare provider. based in Kapolei, Hawaii. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for MR. KAMERON T KANESHINA (DPT) is 1336604131

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. KAMERON T KANESHINA (DPT)
NPI
1336604131
Phone
(808) 674-0500
Address
1001 KAMOKILA BLVD STE 114
Enumeration Date
5 February 2019
Last Update Date
11 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8084870487
Graduation Year
2018 (8 years ago)
PAC ID
3779825807
Group Practice PAC ID
4486755733
Professional Enrollment ID
I20190422000543
Address ID
HI967013968AI99XXXDRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

615 PHYSICAL THERAPIST IN PRIVATE PRACTICE in HI

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Provider Addresses for MR. KAMERON T KANESHINA (DPT)

  • Kamokila Boulevard, City Center, Makakilo City, Kapolei, Honolulu County, Hawaii, 96707, United States

    KAPOLEI, HI 967072095

    Phone: (808) 674-0500

    Fax: (808) 674-0511

    Type: Location

  • 1402, Komo Mai Drive, Pearl City, Honolulu County, Hawaii, 96782, United States

    PEARL CITY, HI 967822244

    Phone: (808) 298-7401

    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: 2019-04-22

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
I20190422000543IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96707)

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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: 4486755733View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeHI
-HI
Physical Therapist In Private PracticeHI
-HI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. KAMERON T KANESHINA (DPT)?
MR. KAMERON T KANESHINA (DPT) — NPI 1336604131 — is the standard way to identify this listing.
Does the file indicate MR. KAMERON T KANESHINA (DPT) is practicing under active NPI?
Directory data currently reports MR. KAMERON T KANESHINA (DPT) as active.
What healthcare role does MR. KAMERON T KANESHINA (DPT) hold?
Scheduling teams often label MR. KAMERON T KANESHINA (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. KAMERON T KANESHINA (DPT)?
MR. KAMERON T KANESHINA (DPT)'s geographic hint is Kapolei, Hawaii in our summary view.
Is the information about MR. KAMERON T KANESHINA (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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