Provider Demographics
NPI:1538031406
Name:REGINALDO, AILEEN (PT, DPT)
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:
Last Name:REGINALDO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 KAPIOLANI BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3802
Mailing Address - Country:US
Mailing Address - Phone:808-979-0700
Mailing Address - Fax:808-979-0707
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 600
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3802
Practice Address - Country:US
Practice Address - Phone:808-979-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist