Active NPI
Dane Chambers, D.P.T.
- Physical Medicine & Rehabilitation Physician
- Kapaa, HI
National Provider Identifier
1134899032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT4287
- Practice address
- 5633 Kawaihau Road
Blvd 2a-12
Kapaa, HI 96746 - Phone
- (808) 632-0033
- Fax
- (808) 632-0077
- NPI assigned
- Sep 14, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 60709 | OR | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT60508306 | WA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT4287 | HI | Primary |
Addresses
Primary practice location
5633 Kawaihau Road
Blvd 2a-12
Kapaa, HI 96746
Mailing address
PO Box 288
Lihue, HI 96766
Phone (808) 632-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3088 Aukele St
Lihue, HI 96766-2124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4287 | HI | MD | Physical Medicine & Rehabilitation Physician |
| 60709 | OR | MD | Physical Medicine & Rehabilitation Physician |
| PT60508306 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Sports and Balance Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Lihue, HI
- NPI 1689651002
-
- Physical Therapist
- Lihue, HI
- NPI 1639333180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1134899032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-632-0033",
"fax_number": "808-632-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 KAWAIHAU ROAD",
"address_2": "BLVD 2A-12",
"city": "KAPAA",
"state": "HI",
"postal_code": "96746",
"telephone_number": "808-632-0033",
"fax_number": "808-632-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "DANE",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "60709",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "PT60508306",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "HI",
"license": "PT4287",
"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 Sep 14, 2021; 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.