Individual provider Active NPI

Deborah Weber

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1194152363
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3328 Issued in HI
Practice address
1188 Bishop St Ste 910
Honolulu, HI 96813-3304
Phone
(808) 990-9011
NPI assigned
Oct 3, 2013
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8004 NC
Physical Therapist 225100000X 3328 HI Primary

Addresses

Primary practice location

1188 Bishop St Ste 910
Honolulu, HI 96813-3304

Mailing address

525 Ulukou St
Kailua, HI 96734-4427
Phone (808) 990-9011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713000548 HI Practitioner - Physical Therapist in Private Practice 2961794896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Pelvic Therapy, LLCGroup PAC ID 1052603982, 3 clinicians

Practice addresses (Care Compare)

50 S Beretania St
Suite C204
Honolulu, HI 96813-2222
Phone (808) 990-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3328HIMDPhysical Therapist
8004NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Pelvic Therapy, LLC CurrentSince Apr 20, 2016 Accepting new patients

Locations

1188 Bishop St
Ste 910
Honolulu, HI 96813
Phone (808) 990-9011

50 S Beretania St
Ste C204
Honolulu, HI 96813
Phone (808) 990-9011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1194152363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ULUKOU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344427",
            "telephone_number": "808-990-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 910",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133304",
            "telephone_number": "808-990-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8004",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.