Active NPI
On Point Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Haiku, HI
National Provider Identifier
1154863942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 3135
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Joell Vander Veen, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161221002194 | HI | Part B Supplier - Clinic/Group Practice | 0648551101 |
Receives reassigned benefits from 1 practitioner Practice locations: Haiku, HI |
National Provider Directory
National Provider DirectoryPractitioners & 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.