Active NPI
Brett Andrew Carey, DPT
- Physical Therapist
- Kailua Kona, HI
National Provider Identifier
1093004848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-3268
- Practice address
- 75-5597 Palani Rd Ste A1
Kailua Kona, HI 96740-1661 - Phone
- (808) 987-6795
- NPI assigned
- Apr 1, 2011
- Last updated
- Jul 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3268 | HI | Primary |
Addresses
Primary practice location
75-5597 Palani Rd Ste A1
Kailua Kona, HI 96740-1661
Mailing address
78-6831 Alii Dr
Ste 420
Kailua Kona, HI 96740-5403
Phone (808) 498-4144
Other practice location 1
75-181 Hualalai Rd
Suite J3
Kailua Kona, HI 96740-1787
Phone (757) 409-4735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093004848 | Other | HI | NOT SURE MEDICARE PIN PERHAPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3268 | HI | MD | Physical Therapist |
Organizations & group practices 1
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.
-
dba Kptmg
- Geriatric Physical Therapist
- Kailua Kona, HI
- NPI 1932648284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1093004848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78-6831 ALII DR",
"address_2": "STE 420",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967405403",
"telephone_number": "808-498-4144",
"fax_number": "808-498-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5597 PALANI RD STE A1",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401661",
"telephone_number": "808-987-6795"
}
],
"practiceLocations": [
{
"address_1": "75-181 Hualalai Rd",
"address_2": "Suite J3",
"address_purpose": "LOCATION",
"city": "Kailua Kona",
"state": "HI",
"postal_code": "967401787",
"country_code": "US",
"telephone_number": "757-409-4735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAREY",
"first_name": "BRETT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-3268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT SURE MEDICARE PIN PERHAPS",
"identifier": "1093004848",
"state": "HI"
}
],
"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 Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.