Active NPI
Elizabeth Chau
- Occupational Therapist
- Kapolei, HI
National Provider Identifier
1104164045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1202
- Practice address
- 92-461 Makakilo Dr
Kapolei, HI 96707-1270 - Phone
- (808) 678-3814
- NPI assigned
- Jan 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | OT-1202 | HI | |
| Occupational Therapist | 225X00000X | OT1202 | HI | Primary |
Addresses
Primary practice location
92-461 Makakilo Dr
Kapolei, HI 96707-1270
Mailing address
91-1019 Makahou St
Kapolei, HI 96707-1949
Phone (808) 497-8961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64676303 | Medicaid | HI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1202 | HI | MD | Occupational Therapist |
| OT-1202 | HI | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapolei Early Intervention Program | Early Intervention Provider Agency | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Kapolei, HI
- NPI 1982973590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1104164045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1019 MAKAHOU ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071949",
"telephone_number": "808-497-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92-461 MAKAKILO DR",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071270",
"telephone_number": "808-678-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAU",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "HI",
"license": "OT-1202",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "OT1202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64676303",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.