Individual provider Active NPI

Stephanie Colasanti

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1083163471
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4272 Issued in HI
Practice address
78-6831 Alii Dr Ste 420
Kailua Kona, HI 96740-5403
Phone
(808) 498-4144
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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-4272 HI Primary

Addresses

Primary practice location

78-6831 Alii Dr Ste 420
Kailua Kona, HI 96740-5403

Mailing address

77-175 Halawai Way
Kailua Kona, HI 96740-2297
Phone (386) 931-7123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220000973 HI Practitioner - Physical Therapist in Private Practice 5496036055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haleiwa Physical Therapy LLCGroup PAC ID 6204178932, 3 clinicians
Active Hawaii Physical Therapy, LLCGroup PAC ID 6103356357, 6 clinicians

Practice addresses (Care Compare)

66-590 Kamehameha Hwy
Suite 2F
Haleiwa, HI 96712-1484
Phone (808) 260-7210

78 -6831 Alii Dr
Suite 420
Kailua Kona, HI 96740-5403
Phone (808) 498-4144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Hawaii Physical Therapy, LLC Physical Therapist CurrentSince Nov 30, 2024 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Sep 12, 2016 Accepting new patients
Haleiwa Physical Therapy LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Sep 12, 2016 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

66-590 Kamehameha Hwy
Ste 2F
Haleiwa, HI 96712
Phone (205) 572-1487

66-590 Kamehameha Hwy
Ste 2F
Haleiwa, HI 96712
Phone (808) 260-7210

78-6831 Alii Dr
Ste 420
Kailua Kona, HI 96740
Phone (808) 498-4144

Organizations & group practices 4

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1083163471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-175 HALAWAI WAY",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402297",
            "telephone_number": "386-931-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 420",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405403",
            "telephone_number": "808-498-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLASANTI",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.