Individual provider Active NPI

Lee M. Poston, P.T.

  • Physical Therapist
  • Kahului, HI
National Provider Identifier
1124139969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1624 Issued in HI
Practice address
111 Hana Hwy
Suite 107
Kahului, HI 96732-2300
Phone
(808) 877-8717
Fax
(808) 877-8718
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1624 HI Primary

Addresses

Primary practice location

111 Hana Hwy
Suite 107
Kahului, HI 96732-2300

Mailing address

111 Hana Hwy
Suite 107
Kahului, HI 96732-2300
Phone (808) 877-8717

Other identifiers 1

IdentifierTypeStateIssuer
25651903MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000886 HI Practitioner - Physical Therapist in Private Practice 5496643322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates of Maui LLCGroup PAC ID 2365330297, 4 clinicians

Practice addresses (Care Compare)

111 Hana Hwy
Suite 107
Kahului, HI 96732-2300
Phone (808) 877-8717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1624HIMDPhysical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124139969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HANA HWY",
            "address_2": "SUITE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322300",
            "telephone_number": "808-877-8717",
            "fax_number": "808-877-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANA HWY",
            "address_2": "SUITE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322300",
            "telephone_number": "808-877-8717",
            "fax_number": "808-877-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTON",
        "first_name": "LEE",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25651903",
            "state": "HI"
        }
    ],
    "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 Jul 8, 2007; 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.

Verify at the official NPI Registry.