Active NPI
Charmaine Mamaril
- Physical Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34822
- Practice address
- 200 N Vineyard Blvd Ste 151
Honolulu, HI 96817 - Phone
- (808) 531-1122
- Fax
- (888) 727-7047
- NPI assigned
- Aug 13, 2008
- Last updated
- Feb 13, 2019
- Sex
- Female
- 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 | 34822 | CA | Primary |
Addresses
Primary practice location
200 N Vineyard Blvd Ste 151
Honolulu, HI 96817
Mailing address
2719 Laniloa Rd Apt F
Honolulu, HI 96813-1048
Phone (916) 402-6152
Other practice location 1
454 Forest Ave
Palo Alto, CA 94301-2608
Phone (650) 331-3700
Other practice location 2
454 Forest Ave
Palo Alto, CA 94301-2608
Phone (650) 331-3700
Other practice location 3
1120 12th Ave Ste 302
Honolulu, HI 96816-3790
Phone (808) 734-4043
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
- University of Southern California Keck School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 N Vineyard Blvd
Suite B151
Honolulu, HI 96817-3950
Phone (808) 531-1122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34822 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holomua Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
200 N Vineyard Blvd
Ste B151
Honolulu, HI 96817
Phone (808) 531-1122
200 N Vineyard Blvd
Ste 151
Honolulu, HI 96817
Phone (808) 531-1122
820 Mililani St
Ste 702A
Honolulu, HI 96813
Phone (808) 523-6393
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Honolulu, HI
- NPI 1578842787
Physical Therapist
-
- Physical Therapist
- Sunnyvale, CA
- NPI 1053320325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1144476904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 LANILOA RD APT F",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968131048",
"telephone_number": "916-402-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N VINEYARD BLVD STE 151",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96817",
"telephone_number": "808-531-1122",
"fax_number": "888-727-7047"
}
],
"practiceLocations": [
{
"address_1": "454 Forest Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943012608",
"country_code": "US",
"telephone_number": "650-331-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "454 Forest Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943012608",
"country_code": "US",
"telephone_number": "650-331-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 12th Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968163790",
"country_code": "US",
"telephone_number": "808-734-4043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMARIL",
"first_name": "CHARMAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.