MPT South LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MPT SOUTH LLC

Practice address

320 Ward Ave Ste 107
Honolulu, HI 96814-4016

Phone

(808) 597-1005

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Joanna Davis

Title

Biller

Phone

(808) 823-0103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1154997435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARD AVE STE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144016",
            "telephone_number": "808-597-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARD AVE STE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144016",
            "telephone_number": "808-597-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPT SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "808-823-0103"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Moya
• Chelsie L. Moyer, MD
• Emilee Nichole Moyer, CPNP-PC
• Aaisha Siddiqua Mozumder, MD
• MPC Handitrans SVC. LLC
• Vikram B. Mruthyunjayanna, M.D.
• Carl Phillip Mudrick, R.PH.
• Charles Mueller, LICENSED PH. D
• Jonathan Jee Woon Mueller, PHD
• Kendra Mueller

• Physical Medicine & Rehabilitation Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.