Active NPI
Barry R.K. Quilloy, DPT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1215000807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2173
- Practice address
- 850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855 - Phone
- (808) 373-4787
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- 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 | 2173 | HI | Primary |
Addresses
Primary practice location
850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855
Mailing address
850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855
Phone (808) 373-4787
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6697487 | Other | HI | UNIVERSITY HEALTH ALLIANC |
| 00A0238368 | Other | HI | HMSA QUEST PROV. NUMBER |
| 209865 | Other | HI | SUMMERLIN LIFE |
| 00A0238368 | Other | HI | HMSA PROV. NUMBER |
| 55184701 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2173 | HI | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215000807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W HIND DR",
"address_2": "SUITE 104 AND 108",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211855",
"telephone_number": "808-373-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W HIND DR",
"address_2": "SUITE 104 AND 108",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211855",
"telephone_number": "808-373-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLOY",
"first_name": "BARRY",
"middle_name": "R.K.",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANC",
"identifier": "6697487",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST PROV. NUMBER",
"identifier": "00A0238368",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMERLIN LIFE",
"identifier": "209865",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROV. NUMBER",
"identifier": "00A0238368",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55184701",
"state": "HI"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.