OPTIMAL WOUND SOLUTIONS LLC
NPI 1124626098
Clinic/Center - Multi-Specialty in Ewa Beach, HI

Active since October 13, 2020
91-1246 KAIKOHOLA ST, EWA BEACH, HI 96706(808) 772-0291 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Multi-Specialty

About OPTIMAL WOUND SOLUTIONS LLC

This page provides the complete NPI Profile along with additional information for Optimal Wound Solutions Llc, a provider established in Ewa Beach, Hawaii operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1124626098 assigned on October 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Optimal Wound Solutions Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kimberly Pennington Pt, Cws (Founder / President)

NPI
1124626098 Verify this NPI
Provider Name
OPTIMAL WOUND SOLUTIONS LLC
Entity Type
Organization
Location Address
91-1246 KAIKOHOLA ST EWA BEACH, HI 96706
Location Phone
(808) 772-0291
Mailing Address
91-1246 KAIKOHOLA ST EWA BEACH, HI 96706
Mailing Phone
(808) 772-0291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2020
Last Update Date
10-13-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY PENNINGTON PT, CWS

Authorized Official Title
FOUNDER / PRESIDENT
Authorized Official Phone
(808) 772-0291

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124626098, enumerated as an "organization" on October 13, 2020.

The provider is located at 91-1246 KAIKOHOLA ST EWA BEACH, HI 96706 and the phone number is (808) 772-0291.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.