Active NPI
Venture Physical Therapy LLC
- Physical Therapist
- Kihei, HI
National Provider Identifier
1093960171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- VENTURE PHYSICAL THERAPY LLC
- Practice address
- 101 Kanani Rd
Kihei, HI 96753-6805 - Phone
- (808) 633-4480
- Fax
- (808) 465-8155
- NPI assigned
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Anderson
- Title
- Director of Operations
- Phone
- (808) 633-4480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
101 Kanani Rd
Kihei, HI 96753-6805
Mailing address
101 Kanani Rd
Kihei, HI 96753-6805
Phone (808) 633-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090210000617 | HI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6901961861 |
Receives reassigned benefits from 20 practitioners 2 other NPIs on this enrollment Practice locations: Lanai City, HI; Kihei, HI |
National Provider Directory
National Provider Directory- Tax ID family
- Venture Physical Therapy LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Kihei, HI
- NPI 1114636297
-
- Physical Therapist
- Lanai City, HI
- NPI 1922589316
Locations
310 Ohukai Rd
Kihei, HI 96753
Phone (808) 870-4368
221 Piikea Ave
#D
Kihei, HI 96753
Ownership & related parties
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Kahului, HI
- NPI 1699885970
HI, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294185600000",
"number": "1093960171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 KANANI RD",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536805",
"telephone_number": "808-633-4480",
"fax_number": "808-465-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 KANANI RD",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536805",
"telephone_number": "808-633-4480",
"fax_number": "808-465-8155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENTURE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2011-01-05",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "808-633-4480"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.