Active NPI
Haraguchi Physical Therapy & Orthopedics LLC
- Physical Therapy Clinic/Center
- Kilauea, HI
National Provider Identifier
1033879515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HARAGUCHI PHYSICAL THERAPY & ORTHOPEDICS LLC
- Practice address
- 2555 Ala Namahana Pkwy Ste G1
Kilauea, HI 96754-5395 - Phone
- (808) 639-5130
- NPI assigned
- Dec 23, 2021
- 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
- Dr. Emelia Loren Haraguchi, PT, DPT, OCS
- Title
- Doctor of Physical Therapy, Ceo
- Phone
- (808) 639-5130
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2555 Ala Namahana Pkwy Ste G1
Kilauea, HI 96754-5395
Mailing address
PO Box 439
Anahola, HI 96703-0439
Phone (808) 639-5130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 735095 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2555 Ala Namahana Pkwy
Ste G1
Kilauea, HI 96754
Phone (808) 378-2808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Kalaheo, HI
- NPI 1841567179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640217600000",
"number": "1033879515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 439",
"city": "ANAHOLA",
"state": "HI",
"postal_code": "967030439",
"telephone_number": "808-639-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 ALA NAMAHANA PKWY STE G1",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967545395",
"telephone_number": "808-639-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARAGUCHI PHYSICAL THERAPY & ORTHOPEDICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A",
"authorized_official_last_name": "HARAGUCHI",
"authorized_official_first_name": "EMELIA",
"authorized_official_middle_name": "LOREN",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY, CEO",
"authorized_official_telephone_number": "808-639-5130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, OCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "735095",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kilauea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.