South Shore Physical Therapy & Sportsmedicine, Inc
A Medicare group practice based in Kahului, HI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799788808), with 19 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5799788808
- Also listed as
- South Shore Physical Therapy and Sportsmedicine, Inc
- Provider type
- DME Supplier - Independently-Practicing Physical Therapist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- HI
- Enrollments
- 2
- Group size
- 14 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060810000214 | HI | Part B Supplier - Clinic/Group Practice | 1760435218 |
| O20260206002714 | HI | DME Supplier - Independently-Practicing Physical Therapist | 1396601647 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
South Shore Physical Therapy & Sportsmedicine, Inc
- Physical Therapist
- Kahului, HI
- NPI 1396601647
-
South Shore Physical Therapy & Sportsmedicine, Inc
dba Imua Physical Therapy
- Physical Therapy Clinic/Center
- Kihei, HI
- NPI 1760435218
Practice locations
- Kahului, HI2
- Makawao, HI1
- Kihei, HI1
- Lahaina, HI1
Clinicians 19
Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (14).
-
John Bott, PT, DPT, CSCS
- Physical Therapist
- Makawao, HI
- NPI 1144774605
-
Ryan James Butler, PT, DPT
- Physical Therapist
- Makawao, HI
- NPI 1801406319
-
Paulina Czartoryski, PT, DPT
- Physical Therapist
- Makawao, HI
- NPI 1982494084
-
Shiela Marie Dinunzio, M.S.P.T.
- Physical Therapist
- Kihei, HI
- NPI 1386641009
-
Eric Edward Ersson, PT PHYSICAL THERAPIS
- Physical Therapist
- Makawao, HI
- NPI 1255495180
-
Pedro (Peter) Raul Ferrer, PT
- Physical Therapist
- Lahaina, HI
- NPI 1861779985
-
Andrew Colin Fuqua
- Physical Therapist
- Lahaina, HI
- NPI 1316420599
-
Megin S John, DPT
- Physical Therapist
- Kahului, HI
- NPI 1215228648
-
McKenna Jones
- Physical Therapist
- Kahului, HI
- NPI 1174494322
-
Sean Jonick, OT
- Occupational Therapist
- Wailuku, HI
- NPI 1417510041
-
Alexander Nathaniel Ma, DPT
- Physical Therapist
- Lahaina, HI
- NPI 1245959519
-
Lauren Victoria Musselman, PT
- Physical Therapist
- Kihei, HI
- NPI 1427634781
-
Adrianna Nunes
- Physical Therapist
- Kihei, HI
- NPI 1831733567
-
Hannah Marie Poepoe
- Occupational Therapist
- Kahului, HI
- NPI 1881306504
-
Tiffany Grace Prangnell, MPT, ATC
- Orthopedic Physical Therapist
- Kihei, HI
- NPI 1881657633
-
Jonathan Mead Raymond, MSPT
- Physical Therapist
- Makawao, HI
- NPI 1023095890
-
Zachary Swaney, PT, DPT
- Physical Therapist
- Wailuku, HI
- NPI 1942801568
-
Deanna Ruth Vander Meer
- Occupational Therapist
- Kahului, HI
- NPI 1215544374
-
Jai L Wiske, PT
- Physical Therapist
- Kahului, HI
- NPI 1255465647
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.