NPIMap

Organization Active NPI

Bodypro Physical Therapy Inc

Doing business as Bodypro Physical Therapy

  • Physical Therapist
  • Kamuela, HI
National Provider Identifier
1235397589
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2646 Issued in HI
Legal business name
BODYPRO PHYSICAL THERAPY INC
Doing business as
Bodypro Physical Therapy
Practice address
65-1292 Kawaihae Rd Ste a
Kamuela, HI 96743-8404
Phone
(808) 494-0197
Fax
(808) 887-1373
NPI assigned
May 22, 2008
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mr. John Allen Warneke, PTNPI 1346262888
Title
Ceo
Phone
(808) 887-1371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2646 HI Primary

Addresses

Primary practice location

65-1292 Kawaihae Rd Ste a
Kamuela, HI 96743-8404

Mailing address

PO Box 6810
Kamuela, HI 96743-6810
Phone (808) 887-1371

Other practice location 1

68-1820 Waikoloa Rd Ste 503
Waikoloa, HI 96738
Phone (808) 209-8394

Other practice location 2

54-3877 Akoni Pule Hwy
Kapaau, HI 96755-0367
Phone (808) 657-4722

Other identifiers 2

IdentifierTypeStateIssuer
1235397589OtherHIHMSA
1235397589MedicaidHI

Other names 1

  • BODYPRO PHYSICAL THERAPY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL john@bodyprotherapy.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000066 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315012705 Receives reassigned benefits from 8 practitioners
Practice locations: Kamuela, HI; Kapaau, HI; Waikoloa, HI

National Provider Directory

National Provider Directory

Locations

64-974 Mamalahoa Hwy
Ste 103
Kamuela, HI 96743
Phone (808) 887-1371

65-1292 Kawaihae Rd
Ste A
Kamuela, HI 96743
Phone (808) 494-0197

68-1820 Waikoloa Rd
Ste 503
Waikoloa, HI 96738
Phone (808) 209-8394

Practitioners & affiliated clinicians

Practitioners 11

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1235397589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6810",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436810",
            "telephone_number": "808-887-1371",
            "fax_number": "808-887-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1292 KAWAIHAE RD STE A",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438404",
            "telephone_number": "808-494-0197",
            "fax_number": "808-887-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68-1820 Waikoloa Rd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Waikoloa",
            "state": "HI",
            "postal_code": "96738",
            "country_code": "US",
            "telephone_number": "808-209-8394",
            "fax_number": "808-498-0573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54-3877 AKONI PULE HWY",
            "address_purpose": "LOCATION",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550367",
            "country_code": "US",
            "telephone_number": "808-657-4722",
            "fax_number": "808-731-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODYPRO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "WARNEKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-887-1371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "1235397589",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235397589",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "john@bodyprotherapy.com",
            "affiliation": "N",
            "endpointDescription": "kim@bodyprotherapy.com",
            "address_1": "65-1292 Kawaihae Rd Ste A",
            "city": "Kamuela",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967438404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BODYPRO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BODYPRO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.