Active NPI
Myra Addenbrooke Marfori
- Physical Therapist
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 407 Uluniu St Ste 301
Kailua, HI 96734-2537 - Phone
- (808) 261-4321
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
407 Uluniu St Ste 301
Kailua, HI 96734-2537
Mailing address
407 Uluniu St Ste 301
Kailua, HI 96734-2537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250818001630 | TX | Practitioner - Physical Therapist in Private Practice | 8022398155 | Reassigns benefits to 1 organization |
| I20251125003669 | CA | Practitioner - Physical Therapist in Private Practice | 8022398155 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Origin Physical Therapy Ca Inc
Practice addresses (Care Compare)
11980 San Vicente Blvd
Suite 100
Los Angeles, CA 90049-6602
Phone (213) 898-2673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Origin Physical Therapy FL PLLC | Physical Therapist | Current | Accepting new patients |
| Origin Physical Therapy Ca Inc | Physical Therapist | Current | Accepting new patients |
| Sullivan Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
7188 Avenida Encinas
Ste 110
Carlsbad, CA 92011
11980 San Vicente Blvd
Ste 100
Los Angeles, CA 90049
Phone (310) 479-2323
12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497
2712 Bee Caves Rd
Ste 122A
Austin, TX 78746
Phone (737) 234-9618
4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894
Organizations & group practices 3
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1982169595
CA, Physical Therapist
-
- Physical Therapist
- Austin, TX
- NPI 1477220861
-
- Physical Therapist
- Austin, TX
- NPI 1437377199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1205288552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 301",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 301",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342537",
"telephone_number": "808-261-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARFORI",
"first_name": "MYRA",
"middle_name": "ADDENBROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2022-06-09",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.