Active NPI
Angela M. Peters, MPT
- Physical Therapist
- Kahului, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2575
- Practice address
- 135 S Wakea Ave Ste 112
Kahului, HI 96732-1385 - Phone
- (808) 280-7711
- Fax
- (808) 442-0690
- NPI assigned
- May 16, 2006
- Last updated
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 2575 | HI | Primary |
Addresses
Primary practice location
135 S Wakea Ave Ste 112
Kahului, HI 96732-1385
Mailing address
PO Box 790826
Paia, HI 96779-0826
Phone (808) 280-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Utah School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
135 S Wakea Ave
Suite 112
Kahului, HI 96732-1385
Phone (808) 280-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2575 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angie Peters MPT LLC | Current | Accepting new patients | |
| Optimal Physical Therapy,LLC | Physical Therapist | Past | Accepting new patients |
| Bodies in Motion, LLC | Physical Therapist | Past | Accepting new patients |
| Elite Physical Therapy and Sports | Physical Therapist | Past | Accepting new patients |
Locations
135 S Wakea Ave
Ste 113
Kahului, HI 96732
135 S Wakea Ave
Ste 112
Kahului, HI 96732
Phone (808) 280-7711
135 S Wakea Ave
Ste 112113
Kahului, HI 96732
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.
-
- Specialist
- Kahului, HI
- NPI 1275964751
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- Physical Therapist
- Kihei, HI
- NPI 1841591500
-
- Physical Therapist
- Makawao, HI
- NPI 1235180811
-
- Physical Therapist
- Makawao, HI
- NPI 1063492858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1093766610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790826",
"city": "PAIA",
"state": "HI",
"postal_code": "967790826",
"telephone_number": "808-280-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S WAKEA AVE STE 112",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321385",
"telephone_number": "808-280-7711",
"fax_number": "808-442-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ANGELA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.