Active NPI
Fysiotherapie Hawaii Inc
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1124051883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1866
- Legal business name
- FYSIOTHERAPIE HAWAII INC
- Practice address
- 3465 Waialae Ave
Suite 360
Honolulu, HI 96816-2650 - Phone
- (808) 372-6902
- NPI assigned
- Jul 8, 2006
- 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
- Bart M Kellner, PT
- Title
- President
- Phone
- (808) 372-6902
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1866 | HI | Primary |
Addresses
Primary practice location
3465 Waialae Ave
Suite 360
Honolulu, HI 96816-2650
Mailing address
820 Mililani St
Suite 702a
Honolulu, HI 96813-2924
Phone (808) 523-9363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070525000238 | HI | Part B Supplier - Clinic/Group Practice | 7012014046 |
Receives reassigned benefits from 13 practitioners Practice locations: Honolulu, HI; Waipahu, HI |
National Provider Directory
National Provider DirectoryLocations
1120 12th Ave
Ste 302
Honolulu, HI 96816
Phone (808) 734-4043
3465 Waialae Ave
Ste 360
Honolulu, HI 96816
Phone (808) 372-6902
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Honolulu, HI
- NPI 1922057801
HI
-
- Physical Therapist
- Waipahu, HI
- NPI 1851811707
HI, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124051883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MILILANI ST",
"address_2": "SUITE 702A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132924",
"telephone_number": "808-523-9363",
"fax_number": "808-523-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 WAIALAE AVE",
"address_2": "SUITE 360",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162650",
"telephone_number": "808-372-6902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FYSIOTHERAPIE HAWAII INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KELLNER",
"authorized_official_first_name": "BART",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-372-6902",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT 1866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.