Healthcare Provider Details

I. General information

NPI: 1306787494
Provider Name (Legal Business Name): JANELLE HIRATA PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 KAPIOLANI BLVD STE 800
HONOLULU HI
96814-4536
US

IV. Provider business mailing address

94-569 PILIMAI PL
WAIPAHU HI
96797-1642
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-9043
  • Fax: 808-526-0268
Mailing address:
  • Phone: 808-523-9043
  • Fax: 808-526-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA-798
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: