NPIMap

Organization Active NPI

Holisticare Physical Therapy

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1215326509
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOLISTICARE PHYSICAL THERAPY
Practice address
400 Keawe St # 416
Honolulu, HI 96813-5199
Phone
(808) 348-6336
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Ying-Wei Jason Chang, DPTNPI 1245507011
Title
Physical Therapist
Phone
(808) 348-6336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X

Addresses

Primary practice location

400 Keawe St # 416
Honolulu, HI 96813-5199

Mailing address

400 Keawe St # 416
Honolulu, HI 96813-5199
Phone (808) 348-6336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150313000159 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820314651 Receives reassigned benefits from 6 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

100 N Beretania St
Ste 116
Honolulu, HI 96817
Phone (808) 518-9807

Practitioners & affiliated clinicians

Practitioners 6

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1215326509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KEAWE ST # 416",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135199",
            "telephone_number": "808-348-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KEAWE ST # 416",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135199",
            "telephone_number": "808-348-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTICARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YING-WEI",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-348-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 12, 2016; 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.