Leeward Oahu Rehab Services, L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 2421 Issued in HI

Legal business name

LEEWARD OAHU REHAB SERVICES, L.L.C.

Practice address

94-356 Waipahu Depot St
Waipahu, HI 96797-3057

Phone

(808) 671-5928

Fax

(808) 677-2720

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. VI D Fuentes, P.T.

Title

Physical Therapist

Phone

(808) 671-5928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144348673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-356 WAIPAHU DEPOT ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973057",
            "telephone_number": "808-671-5928",
            "fax_number": "808-677-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-356 WAIPAHU DEPOT ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973057",
            "telephone_number": "808-671-5928",
            "fax_number": "808-677-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWARD OAHU REHAB SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "VI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-671-5928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "PT 2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie-Anne Lee
• Leeward Drug Limited Dba Waipahu Drug Express
• Leeward Drug LTD
• Leeward Eye Care, Inc.
• Leeward Oahu Pharmacy Inc
• Leeward Pedodontix, LLC
• Legacy Life, LLC
• Wendy Lehano
• Lydia A. Lem, OD
• Mia Leon Guerrero

• Specialist in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Specialist in Hawaii

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.