Ewa Beach Physical Therapy LLC
A Medicare group practice based in Waianae, HI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294716668), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294716668
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- HI
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20101229000908 | HI | Part B Supplier - Clinic/Group Practice | 1467580712 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Ewa Beach Physical Therapy LLC
- Physical Therapy Clinic/Center
- Ewa Beach, HI
- NPI 1467580712
-
Ewa Beach Physical Therapy LLC
- Physical Therapy Clinic/Center
- Ewa Beach, HI
- NPI 1124741467
Practice locations
- Ewa Beach, HI1
- Waianae, HI1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
Sydney Speer, PT, DPT
- Physical Therapist
- Clarksville, TN
- NPI 1306678792
-
Grant H Takiguchi, PT
- Physical Therapist
- Ewa Beach, HI
- NPI 1194852962
-
Jared Yasuo Takiguchi
- Physical Therapist
- Ewa Beach, HI
- NPI 1093556888
-
Kristen R N Vail, MPT
- Physical Therapist
- Ewa Beach, HI
- NPI 1922249861
-
Jonathan Randall Wong, PT, DPT
- Physical Therapist
- Santa Clara, CA
- NPI 1487134342
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.