Hawai'I Sports Performance and Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HAWAI'I SPORTS PERFORMANCE AND REHABILITATION LLC

Practice address

75-5660 Kopiko St
Kailua Kona, HI 96740-3611

Phone

(304) 942-1726

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Genelle Botje, DPTNPI 1730526492

Title

Doctor of Physical Therapy

Phone

(304) 942-1726

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genelle Botje, D.P.T.

  • Physical Therapist
  • Kailua Kona, HI
  • NPI 1730526492
  NPD (past) Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1205302452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6167 ALII DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402387",
            "telephone_number": "304-942-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403611",
            "telephone_number": "304-942-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-165 Hualalai Rd",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403722",
            "country_code": "US",
            "telephone_number": "304-942-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAWAI'I SPORTS PERFORMANCE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BOTJE",
        "authorized_official_first_name": "GENELLE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "304-942-1726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12669923",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Harris
• Claudia Patricia Hartz
• Kayla Harvey
• Virginia Burford Hatch-Pigott, M.D.
• Brenda E Hathaway, BSN, RN
• Hawaii Counseling Care LLC
• Hawaii Dental Group, Inc.
• Hawaii Holistic Care
• Hawaii Island Recovery, LLC
• Hawaii Life Flight, LLC

• Physical Therapy Clinic/Center in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.