Healthcare Provider Details

I. General information

NPI: 1649197153
Provider Name (Legal Business Name): SAMANTHA ONO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BERETANIA ST STE 888
HONOLULU HI
96814-1871
US

IV. Provider business mailing address

98-1005 MOANALUA RD SPC 410
AIEA HI
96701-4702
US

V. Phone/Fax

Practice location:
  • Phone: 808-600-9147
  • Fax:
Mailing address:
  • Phone: 808-600-9148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-6431
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: