Active NPI
Richard W Cottrell, PT
- Physical Therapist
- Kapaa, HI
National Provider Identifier
1134212699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1354
- Practice address
- 4-1558 Kuhio Hwy Ste 4
Kapaa, HI 96746 - Phone
- (808) 823-9300
- Fax
- (808) 823-9392
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1354 | HI | Primary |
Addresses
Primary practice location
4-1558 Kuhio Hwy Ste 4
Kapaa, HI 96746
Mailing address
4-1558 Kuhio Hwy Ste 4
Kapaa, HI 96746
Phone (808) 823-9300
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134212699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4-1558 KUHIO HWY STE 4",
"city": "KAPAA",
"state": "HI",
"postal_code": "96746",
"telephone_number": "808-823-9300",
"fax_number": "808-823-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-1558 KUHIO HWY STE 4",
"city": "KAPAA",
"state": "HI",
"postal_code": "96746",
"telephone_number": "808-823-9300",
"fax_number": "808-823-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "RICHARD",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "1354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapaa, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.