Organization Active NPI

Aloha Sports Medicine and Physical Therapy of Kauai

  • Physical Therapy Clinic/Center
  • Kilauea, HI
National Provider Identifier
1104269083
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1811 Issued in HI
Legal business name
ALOHA SPORTS MEDICINE AND PHYSICAL THERAPY OF KAUAI
Practice address
4480C Hookui Rd
Kilauea, HI 96754-5302
Phone
(808) 828-1128
Fax
(808) 828-1124
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cheryl Claypoole, PTNPI 1548317019
Title
Pres.
Phone
(808) 828-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1811 HI Primary

Addresses

Primary practice location

4480C Hookui Rd
Kilauea, HI 96754-5302

Mailing address

4480C Hookui Rd
Kilauea, HI 96754-5302
Phone (808) 828-1128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130412000169 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022254291 Receives reassigned benefits from 1 practitioner
Practice locations: Kilauea, HI

National Provider Directory

National Provider Directory

Locations

4480 Hookui Rd
#C
Kilauea, HI 96754
Phone (808) 828-1128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1104269083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480C HOOKUI RD",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545302",
            "telephone_number": "808-828-1128",
            "fax_number": "808-828-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480C HOOKUI RD",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545302",
            "telephone_number": "808-828-1128",
            "fax_number": "808-828-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA SPORTS MEDICINE AND PHYSICAL THERAPY OF KAUAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "CLAYPOOLE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "808-828-1128",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilauea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.

Verify at the official NPI Registry.