Organization Active NPI

Go Therapy, LLC

  • Physical Therapy Clinic/Center
  • Waianae, HI
National Provider Identifier
1184294019
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GO THERAPY, LLC
Practice address
85-979 Farrington Hwy
Waianae, HI 96792-2678
Phone
(808) 428-9261
Fax
(808) 201-6747
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Lovely Mona Grace Go, PT, DPT
Title
Owner
Phone
(808) 772-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

85-979 Farrington Hwy
Waianae, HI 96792-2678

Mailing address

PO Box 970583
Waipahu, HI 96797-0583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809002097 HI Part B Supplier - Clinic/Group Practice 7113321480 Receives reassigned benefits from 1 practitioner
Practice locations: Waianae, HI

National Provider Directory

National Provider Directory

Locations

85-979 Farrington Hwy
Waianae, HI 96792
Phone (808) 428-9261

Practitioners & 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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1184294019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970583",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-979 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922678",
            "telephone_number": "808-428-9261",
            "fax_number": "808-201-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "LOVELY",
        "authorized_official_middle_name": "MONA GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-772-8399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.