Active NPI
Daniel Edward Rick, P.T.
- Physical Therapist
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-699
- Practice address
- 75-5699 Kopiko St
Kailua Kona, HI 96740-1668 - Phone
- (808) 329-7744
- Fax
- (808) 334-1608
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-699 | HI | Primary |
Addresses
Primary practice location
75-5699 Kopiko St
Kailua Kona, HI 96740-1668
Mailing address
PO Box 647
Captain Cook, HI 96704-0647
Phone (808) 323-3108
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508351-01 | Medicaid | HI | |
| 50835100 | Other | HI | ALOHA CARE |
| A009 | Other | TRICARE | |
| B060380 | Other | HI | HMSA 65C PLUS |
| 217707 | Other | HI | HMA/SUMMERLIN LIFE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 -5699 Kopiko St
Kailua Kona, HI 96740-3651
Phone (808) 329-7744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club Rehab, Inc. | Physical Therapist | Current | Accepting new patients |
| Anesthesia Relief LLC | Past | Accepting new patients |
Locations
75-5699 Kopiko St
Kailua Kona, HI 96740
Phone (808) 329-7744
73-5590 Kauhola St
Ste A
Kailua Kona, HI 96740
79-7422 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 322-8400
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Kona Hospital | Hospital | Corporate Director | May 7, 2008 |
| Kona Hospital | Hospital | Corporate Director | May 7, 2008 |
| Kona Hospital | Hospital | Corporate Director | May 7, 2008 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Kona Community Hospital
- Psychiatric Hospital Unit
- Kealakekua, HI
- NPI 1639252133
Corporate Director
-
dba Kona Community Hospital
- General Acute Care Hospital
- Kealakekua, HI
- NPI 1952332991
Corporate Director
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Kealakekua, HI
- NPI 1639176381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1003914193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "CAPTAIN COOK",
"state": "HI",
"postal_code": "967040647",
"telephone_number": "808-323-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5699 KOPIKO ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401668",
"telephone_number": "808-329-7744",
"fax_number": "808-334-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICK",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508351-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHA CARE",
"identifier": "50835100",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA 65C PLUS",
"identifier": "B060380",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA/SUMMERLIN LIFE",
"identifier": "217707",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
- Resilient Connections Counseling LLC
- Retina Institute of Hawaii LLC
- Stephen Anthony Reynolds, PSYD
- Mark S. Rhee, MD
- Nameeta Penkar Richard, M.D.
- Kenneth Mark Riff, M.D.
- Allison Genevieve Rigg, OCCUPATIONAL THERAPI
- Robert P. Young M.D., Inc (The Eye Center of Hawaii)
- Charles A Roberts, DDS
- Kristina Danielle Roberts, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.