Active NPI
Triumph Therapy Services, LLC
- Physical Therapist
- Ewa Beach, HI
National Provider Identifier
1033610795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3084
- Legal business name
- TRIUMPH THERAPY SERVICES, LLC
- Doing business as
- Makakilo Physical Therapy and Wellness
- Practice address
- 91-1019 Waikai St
Ewa Beach, HI 96706-6421 - Phone
- (808) 782-5379
- Fax
- (808) 744-6932
- NPI assigned
- Feb 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark H Perez, PT
- Title
- Owner/Physical Therapy
- Phone
- (210) 383-6442
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3084 | HI | Primary |
Addresses
Primary practice location
91-1019 Waikai St
Ewa Beach, HI 96706-6421
Mailing address
91-1019 Waikai St
Ewa Beach, HI 96706-6421
Phone (808) 782-5379
Other names 1
- Makakilo Physical Therapy and Wellness
National Provider Directory
National Provider Directory- Tax ID family
- Hawaii Holistic Mental Health Care Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Kapolei, HI
- NPI 1538660311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629504000000",
"number": "1033610795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1019 WAIKAI ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066421",
"telephone_number": "808-782-5379",
"fax_number": "808-744-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1019 WAIKAI ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066421",
"telephone_number": "808-782-5379",
"fax_number": "808-744-6932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIUMPH THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2021-08-21",
"certification_date": "2021-08-21",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPY",
"authorized_official_telephone_number": "210-383-6442",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "HI",
"license": "3084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Makakilo Physical Therapy and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.