Individual provider Active NPI

Deanna Ruth Vander Meer

  • Occupational Therapist
  • Kahului, HI
National Provider Identifier
1215544374
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2085 Issued in HI
Practice address
118 Maa St
Kahului, HI 96732-3602
Phone
(808) 244-0077
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2085 HI Primary

Addresses

Primary practice location

118 Maa St
Kahului, HI 96732-3602

Mailing address

411 Huku Lii PL Ste 101
Kihei, HI 96753-7062
Phone (808) 298-4933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206002748 HI Practitioner - Occupational Therapist in Private Practice 4486097524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2085HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Physical Therapy & Sportsmedicine, Inc CurrentSince Feb 2, 2024 Accepting new patients
South Shore Physical Therapy & Sportsmedicine, Inc CurrentSince Feb 2, 2024 Accepting new patients

Locations

118 Maa St
Kahului, HI 96732
Phone (808) 244-0077

411 Huku Lii Pl
Ste 101
Kihei, HI 96753
Phone (808) 298-4933

40 Kupuohi St
Ste 105
Lahaina, HI 96761
Phone (808) 661-0077

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1215544374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-298-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323602",
            "telephone_number": "808-244-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER MEER",
        "first_name": "DEANNA",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "2085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.