Organization Active NPI

Kauai Physical Therapy

  • Physical Therapy Clinic/Center
  • Lihue, HI
National Provider Identifier
1124689070
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KAUAI PHYSICAL THERAPY
Practice address
2249 Alahee St
Lihue, HI 96766-8837
Phone
(808) 482-0354
NPI assigned
Jun 21, 2019
Last updated
Jun 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Frederick CaoagasNPI 1619149242
Title
Owner/Manager
Phone
(808) 482-0354

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 NU Primary

Addresses

Primary practice location

2249 Alahee St
Lihue, HI 96766-8837

Mailing address

2249 Alahee St
Lihue, HI 96766-8837
Phone (808) 482-0354

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kauaiphysicaltherapy@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1124689070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 ALAHEE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668837",
            "telephone_number": "808-482-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 ALAHEE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668837",
            "telephone_number": "808-482-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "CAOAGAS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "808-482-0354"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kauaiphysicaltherapy@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2249 Alahee St",
            "city": "Lihue",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967668837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.