Active NPI
Graham C Hadley, PT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1003927237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT - 1461
- Practice address
- 2812B Kalihi St
Honolulu, HI 96819-3058 - Phone
- (808) 848-5556
- Fax
- (808) 848-5557
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 - 1461 | HI | Primary |
Addresses
Primary practice location
2812B Kalihi St
Honolulu, HI 96819-3058
Mailing address
2812B Kalihi St
Honolulu, HI 96819-3058
Phone (808) 848-5556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07500801 | Medicaid | HI | |
| K20203-2 | Other | HI | HMSA, BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT - 1461 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hadley Rehab Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Honolulu, HI
- NPI 1932241577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003927237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812B KALIHI ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968193058",
"telephone_number": "808-848-5556",
"fax_number": "808-848-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812B KALIHI ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968193058",
"telephone_number": "808-848-5556",
"fax_number": "808-848-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "GRAHAM",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT - 1461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07500801",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA, BCBS",
"identifier": "K20203-2",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.