CARL JOHN DELA PENA DPT
NPI 1437927191
Physical Therapist in Honolulu, HI

Active since December 12, 2023Accepts Medicare Assignment
725 KAPIOLANI BLVD STE C103, HONOLULU, HI 96813(808) 674-1142(808) 674-1143 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carl John Dela Pena Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL JOHN DELA PENA DPT (NPI 1437927191) is an individual physical therapist in Honolulu, Hawaii, licensed in Hawaii (PT-5828) and active in the NPI registry since December 2023. He maintains a secondary practice location in Kapolei and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437927191
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCARL JOHN DELA PENACredential: DPT
Location Address725 KAPIOLANI BLVD STE C103Honolulu, HI 96813-6027
Mailing Address599 Farrington Hwy Ste 102Kapolei, HI 96707-2028 · (808) 674-1142 · Fax (808) 674-1143
Fax(808) 674-1143
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1437927191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in HI · PT-5828
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
725 KAPIOLANI BLVD STE C103, Honolulu, HI 96813

Secondary Practice Location 1

Location 1599 Farrington Hwy Ste 102Kapolei, HI 96707-2028 · Phone (808) 674-1142 · Fax (808) 674-1143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl John Dela Pena Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537507538
PECOS Enrollment IDI20240410001763

Medicare Billing Reassignments

2

Medicare enrollment records show Carl John Dela Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
725 KAPIOLANI BLVD STE C103
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 14 clinicians in this Medicare group
Physical Therapy
599 FARRINGTON HWY STE 102
Kapolei, HI 96707
  • Reassigned Medicare billing, Hawaii enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Physical Therapist
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Occupational Therapist (Physical Rehabilitation)
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Clinic/Center (Physical Therapy)
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Physical Therapist
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Physical Therapist
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Physical Therapist
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813
Physical Therapist
725 KAPIOLANI BLVD STE C103
HONOLULU, HI 96813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl John Dela Pena's NPI number?

The NPI number for Carl John Dela Pena is 1437927191. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Carl John Dela Pena located?

Carl John Dela Pena practices at 725 Kapiolani Blvd Ste C103, Honolulu, HI 96813. The listed phone number is (808) 674-1142.

What is Carl John Dela Pena's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Carl John Dela Pena enrolled in Medicare?

Yes. Carl John Dela Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carl John Dela Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl John Dela Pena reassigns Medicare benefits to 2 organizations: Core Sports Honolulu LLC (Honolulu, HI) and Core Sports Analysis LLC (Kapolei, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl John Dela Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl John Dela Pena accept?

Health plans from HMSA list Carl John Dela Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl John Dela Pena was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.