Organization Active NPI

MPT Central LLC

  • Physical Medicine & Rehabilitation Physician
  • Mililani, HI
National Provider Identifier
1225604507
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MPT CENTRAL LLC
Practice address
95-1057 Ainamakua Dr # F-11
Mililani, HI 96789-6310
Phone
(808) 597-1005
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Joanna Davis
Title
Biller
Phone
(808) 823-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

95-1057 Ainamakua Dr # F-11
Mililani, HI 96789-6310

Mailing address

95-1057 Ainamakua Dr # F-11
Mililani, HI 96789-6310

National Provider Directory

National Provider Directory

Locations

95-1057 Ainamakua Dr
#F11
Mililani, HI 96789
Phone (808) 597-1005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1225604507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1057 AINAMAKUA DR # F-11",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1057 AINAMAKUA DR # F-11",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896310",
            "telephone_number": "808-597-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPT CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "808-823-0103"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.