Island Life Therapy and Wellness Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ISLAND LIFE THERAPY AND WELLNESS SERVICES, LLC

Practice address

68-1868 Puu Nui St
Waikoloa, HI 96738-5232

Phone

(808) 854-5746

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Katelyn Branchflower, MOT, OTR

Title

Owner/Member

Phone

(818) 518-4213

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katelyn Crabtree, MOT, OTR

  • Occupational Therapist
  • Waikoloa, HI
  • NPI 1972943611
  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1073204749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-1868 PUU NUI ST",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385232",
            "telephone_number": "808-854-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1868 PUU NUI ST",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385232",
            "telephone_number": "808-854-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND LIFE THERAPY AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BRANCHFLOWER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "818-518-4213",
        "authorized_official_credential": "MOT, OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Louise Gerhard, M.D.
• Angela Glogovsky, RBT
• Shawna Gordon, LMT
• Hawaii Dental Group, Inc.
• Island Holistic Healing LLC
• Karen Jeffery
• Tamera Jones
• Mary Louise Klauder, RN
• Eveline Louise Koenig
• David Kwon, DDS

• Physical Therapist in Waikoloa, HI
• Providers in Waikoloa, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.