Individual provider Active NPI

Shelley A Hong, OT

  • Occupational Therapist
  • Waipahu, HI
National Provider Identifier
1073643532
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT326 Issued in HI
Practice address
94 810 Moloalo Street
Waipahu, HI 96797-3355
Phone
(808) 671-1711
Fax
(808) 671-1705
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT326 HI Primary

Addresses

Primary practice location

94 810 Moloalo Street
Waipahu, HI 96797-3355

Mailing address

826 South King Street
Honolulu, HI 96813-3009
Phone (808) 523-9043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000760 HI Practitioner - Occupational Therapist in Private Practice 0941301113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chart Rehabilitation of Hawaii IncGroup PAC ID 9436154499, 14 clinicians

Practice addresses (Care Compare)

94 -810 Moloalo St
Suite 220
Waipahu, HI 96797-3355
Phone (808) 671-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT326HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chart Rehabilitation of Hawaii Inc CurrentSince Jun 7, 2010 Accepting new patients
Chart Rehabilitation of Hawaii Inc Past Accepting new patients

Locations

826 S King St
Honolulu, HI 96813
Phone (808) 523-9043

1357 Kapiolani Blvd
Ste 800
Honolulu, HI 96814
Phone (808) 523-9043

94-810 Moloalo St
Ste 220
Waipahu, HI 96797
Phone (808) 671-1711

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1073643532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 SOUTH KING STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133009",
            "telephone_number": "808-523-9043",
            "fax_number": "808-526-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 810 MOLOALO STREET",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973355",
            "telephone_number": "808-671-1711",
            "fax_number": "808-671-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT326",
            "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 Sep 2, 2010; 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.