Park Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PARK PHYSICAL THERAPY, LLC

Practice address

850 W Hind Dr Ste 108
Honolulu, HI 96821-1845

Phone

(808) 373-4787

NPI assigned

Oct 5, 2019

Last updated

Oct 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Ann Fumie Park, D.P.T.NPI 1073686630

Title

Owner

Phone

(808) 373-4787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Ann Fumie Park, DPT

  • Physical Therapist
  • Honolulu, HI
  • NPI 1073686630
  Medicare reassignment Care Compare group NPD Authorized official
• Lori Melissa Lieberman Crowley, DPT

  • Physical Therapist
  • Honolulu, HI
  • NPI 1568535193
  Medicare reassignment Care Compare group NPD
• Indu Sharma, OTR

  • Occupational Therapist
  • Paterson, NJ
  • NPI 1679760193
  NPD (past)

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570233600000",
    "number": "1154962660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN FUMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-373-4787",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunal Parekh, M.D.
• Parents and Children Together
• Nisha I Parikh, MD
• George Parish
• Erika Parisien
• Allison Park, RN, BSN
• Amanda Park
• Angela Park
• Angelyn Seol Park, PHARM D
• Carley Park

• Physical Therapy Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.