Organization Active NPI

On Point Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Haiku, HI
National Provider Identifier
1154863942
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3135 Issued in HI
Legal business name
ON POINT PHYSICAL THERAPY, LLC
Practice address
180 Peahi Rd
Haiku, HI 96708-5444
Phone
(808) 344-8565
Fax
(808) 575-9109
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Lauren Joell Vander Veen, PT, DPTNPI 1235466822
Title
Owner
Phone
(808) 344-8565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3135 HI Primary

Addresses

Primary practice location

180 Peahi Rd
Haiku, HI 96708-5444

Mailing address

180 Peahi Rd
Haiku, HI 96708-5444
Phone (808) 344-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221002194 HI Part B Supplier - Clinic/Group Practice 0648551101 Receives reassigned benefits from 1 practitioner
Practice locations: Haiku, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1154863942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PEAHI RD",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085444",
            "telephone_number": "808-344-8565",
            "fax_number": "808-575-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PEAHI RD",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085444",
            "telephone_number": "808-344-8565",
            "fax_number": "808-575-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON POINT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "VANDER VEEN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "JOELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-344-8565",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haiku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.