Individual provider Active NPI

Beatriz Marcondes Nogueira de Oliveira, PT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1154629061
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3340 Issued in HI
Practice address
98-785 Iho PL Apt C
Aiea, HI 96701
Phone
(808) 265-6870
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT-3340 HI
Physical Therapist 225100000X PT-3340 HI Primary

Addresses

Primary practice location

98-785 Iho PL Apt C
Aiea, HI 96701

Mailing address

98-785 Iho PL Apt C
Aiea, HI 96701-2519
Phone (808) 265-6870

Other practice location 1

735 California Ave
Wahiawa, HI 96786-1935
Phone (808) 628-9988

Other names 1

  • Miss Beatriz Marcondes Nogueira Former name

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

State licenses

LicenseStateTypeSpecialty
PT-3340HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Waipahu Physical Therapy, Inc Physical Therapist Past Accepting new patients
Wahiawa Rehab Services Inc Physical Therapist PastSince Feb 22, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1154629061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-785 IHO PL APT C",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012519",
            "telephone_number": "808-265-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-785 IHO PL APT C",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-265-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 California Ave",
            "address_purpose": "LOCATION",
            "city": "Wahiawa",
            "state": "HI",
            "postal_code": "967861935",
            "country_code": "US",
            "telephone_number": "808-628-9988",
            "fax_number": "808-621-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUEIRA DE OLIVEIRA",
        "first_name": "BEATRIZ",
        "middle_name": "MARCONDES",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "PT-3340",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATRIZ",
            "last_name": "NOGUEIRA",
            "middle_name": "MARCONDES",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.