Jonathan Soriano Camacaylan, PT
NPI 1629207956ActiveIndividual· Physical Therapist· Waikoloa, HI
Physical Therapist (PT) with Mana Physical Therapy Inc, practicing in Waikoloa, Hawaii. Medicare paid $40,494 for services to 84 patients in 2024.
Overview
| NPI | 1629207956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jul 8, 2009 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jul 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-2935 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 2,101 across 8 procedure codes |
| Paid by Medicare | $40,494 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mana Physical Therapy IncWaikoloa, HI · 2 clinicians
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