NPIMap

Organization Active NPI

Kahana Physical Therapy LLC

Doing business as DBA Physical Rehabilitation Center

  • Physical Therapist
  • Wailuku, HI
National Provider Identifier
1013124460
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
W40889200 Issued in HI
Legal business name
KAHANA PHYSICAL THERAPY LLC
Doing business as
DBA Physical Rehabilitation Center
Practice address
1063 Lower Main St
Ste C213
Wailuku, HI 96793-2038
Phone
(808) 243-7870
NPI assigned
May 16, 2007
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Korre Leigh Pieper, PTNPI 1427100122
Title
Owner
Phone
(808) 243-7870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X W40889200 HI Primary

Addresses

Primary practice location

1063 Lower Main St
Ste C213
Wailuku, HI 96793-2038

Mailing address

1063 Lower Main St
Ste C213
Wailuku, HI 96793-2038
Phone (808) 243-7870

Other names 1

  • DBA Physical Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

1063 Lower Main St
Ste C213
Wailuku, HI 96793
Phone (808) 243-7870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1013124460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST",
            "address_2": "STE C213",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932038",
            "telephone_number": "808-243-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST",
            "address_2": "STE C213",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932038",
            "telephone_number": "808-243-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHANA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "PIEPER",
        "authorized_official_first_name": "KORRE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-243-7870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "W40889200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Physical Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.