KAILUA PHYSICAL THERAPY CLINIC, INC NPI 1003004896

Specialist in Kailua, HI

About KAILUA PHYSICAL THERAPY CLINIC, INC

Kailua Physical Therapy Clinic, Inc is a provider in Kailua, HI. The NPI number assigned to this provider is 1003004896. The practitioner's primary taxonomy code is Specialist (174400000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Kailua Physical Therapy Clinic, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003004896 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameKAILUA PHYSICAL THERAPY CLINIC, INC
Provider Location Address155 HAMAKUA DR SUITE B KAILUA, HI 96734 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address155 HAMAKUA DR SUITE B KAILUA, HI 96734 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-05-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KAILUA PHYSICAL THERAPY CLINIC, INC
155 HAMAKUA DR
SUITE B
KAILUA, HI
ZIP 96734
Phone: (808) 261-8931
Fax: (808) 261-0301
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Mailing Address

KAILUA PHYSICAL THERAPY CLINIC, INC
155 HAMAKUA DR
SUITE B
KAILUA, HI
ZIP 96734
Phone: (808) 261-8931
Fax: (808) 261-0301

Primary Taxonomy

Taxonomy Code174400000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSpecialist
TypeOther Service Providers
License No.662
License StateHI
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Authorized Official

Authorized Official NameMRS. JANET S. BARRETTA L.P.T. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER/PRESIDENT
Authorized Official Phone(808) 261-8931

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HKPTOTHER (01)HI

Map Location


KAILUA PHYSICAL THERAPY CLINIC, INC address is 155 HAMAKUA DR SUITE B KAILUA, HI 96734

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295194413KAILUA PHYSICAL THERAPY CLINIC, INC
Organization
Specialist155 HAMAKUA DR SUITE B
KAILUA, HI 96734
(808) 261-8931
1598122368 BRANDAL RODRIGUES MAT
Individual
Massage Therapist155 HAMAKUA DR #B
KAILUA, HI 96734
(808) 261-8931