NPIMap

Organization Active NPI

Pakolea Rehab

  • Rehabilitation Practitioner
  • Kahului, HI
National Provider Identifier
1164836870
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
AT-212 Issued in HI
Legal business name
PAKOLEA REHAB
Practice address
135 S Wakea Ave
Kahului, HI 96732-1385
Phone
(808) 553-5199
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Shauna Russell, DPTNPI 1841419025
Title
Owner
Phone
(808) 553-5199

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
Rehabilitation Practitioner 225400000X AT-212 HI Primary

Addresses

Primary practice location

135 S Wakea Ave
Kahului, HI 96732-1385

Mailing address

135 S Wakea Ave
Kahului, HI 96732-1385

National Provider Directory

National Provider Directory
Tax ID family
Pakolea Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

135 S Wakea Ave
Kahului, HI 96732
Phone (808) 214-7773

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1164836870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-553-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKOLEA REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-553-5199",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "HI",
            "license": "AT-212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.