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 established in Kailua, Hawaii specializing in specialist. The NPI number of Kailua Physical Therapy Clinic, Inc is 1003004896 and was assigned on October 2007. The practitioner's primary taxonomy code is 174400000X with license number 662 (HI). The provider is registered as an organization and their NPI record was last updated 15 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. The authorized official of this NPI record is Mrs. Janet S. Barretta L.p.t. (Owner/president)
| NPI | 1003004896 |
| Provider Name | KAILUA PHYSICAL THERAPY CLINIC, INC |
| Provider Location Address | 155 HAMAKUA DR SUITE B KAILUA, HI 96734 |
| Provider Mailing Address | 155 HAMAKUA DR SUITE B KAILUA, HI 96734 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 10-05-2007 |
| Last Update Date | 10-05-2007 |
Primary Taxonomy
| Taxonomy Code | 174400000X |
| Classification | Specialist |
| Type | Other Service Providers |
| License No. | 662 |
| License State | HI |
| Taxonomy Description | An 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. |
Business Address
KAILUA PHYSICAL THERAPY CLINIC, INC
155 HAMAKUA DR
SUITE B
KAILUA, HI
ZIP 96734
Phone: (808) 261-8931
Fax: (808) 261-0301
Mailing Address
KAILUA PHYSICAL THERAPY CLINIC, INC
155 HAMAKUA DR
SUITE B
KAILUA, HI
ZIP 96734
Phone: (808) 261-8931
Fax: (808) 261-0301
Group Taxonomy
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 |
|---|---|---|
| HKPT | OTHER (01) | HI |
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598122368 | BRANDAL RODRIGUES MAT Individual | Massage Therapist | 155 HAMAKUA DR #B KAILUA, HI 96734 (808) 261-8931 |
| 1295194413 | KAILUA PHYSICAL THERAPY CLINIC, INC Organization | Specialist | 155 HAMAKUA DR SUITE B KAILUA, HI 96734 (808) 261-8931 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.