Nansie R Van Der Hout, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT443 Issued in HI

Practice address

354 Uluniu St
Suite 404
Kailua, HI 96734-2528

Phone

(808) 262-1118

Fax

(808) 262-0045

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ohana Pacific Rehabilitation Services, LLC

  • Physical Therapist
  • Kailua, HI
  • NPI 1972673093
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164516589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 KAKAHIAKA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343460",
            "telephone_number": "808-262-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST",
            "address_2": "SUITE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342528",
            "telephone_number": "808-262-1118",
            "fax_number": "808-262-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER HOUT",
        "first_name": "NANSIE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "506371",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53234203",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "53234200",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53234204",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Jina Uyeda, LMFT, CSAC
• Melissa Uyehara
• Jessica Stare Valant, MSPT
• Alex Joseph Valencia, IDC
• Hilary H Valentine, OTR
• Heather Vander Linden-Dozier, BCBA
• David Vandinter
• Helena Margaret Vandiver
• Lynnette Dawn Vanwaus-Carreon, RBT
• Melissa Kay Vargo, PSY.D.

• Physical Therapist in Kailua, HI
• Providers in Kailua, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.