Individual provider Active NPI

Maureen Iris Galvez Dizon, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1033447214
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3152 Issued in HI
Practice address
94-229 Waipahu Depot St
Ste 304
Waipahu, HI 96797-3031
Phone
(808) 391-7678
NPI assigned
Nov 25, 2009
Last updated
Nov 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3152 HI Primary

Addresses

Primary practice location

94-229 Waipahu Depot St
Ste 304
Waipahu, HI 96797-3031

Mailing address

PO Box 970277
Waipahu, HI 96797-0277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000397 HI Practitioner - Physical Therapist in Private Practice 0547301053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waipahu Therapy Center LLPGroup PAC ID 0547159006, 5 clinicians

Practice addresses (Care Compare)

94 -229 Waipahu Depot St
Suite 304
Waipahu, HI 96797-3033
Phone (808) 391-7678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waipahu Therapy Center, LLP Physical Therapist CurrentSince Nov 16, 2009 Accepting new patients

Locations

1810 N King St
Ste E1
Honolulu, HI 96819
Phone (808) 391-7678

2024 N King St
Ste 109
Honolulu, HI 96819
Phone (808) 843-1400

94-229 Waipahu Depot St
Ste 304
Waipahu, HI 96797
Phone (808) 391-7678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1033447214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970277",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST",
            "address_2": "STE 304",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973031",
            "telephone_number": "808-391-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "MAUREEN IRIS",
        "middle_name": "GALVEZ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.