Active NPI
Randy R Weirather, CCC-SLP
- Speech-Language Pathologist
- Honolulu, HI
National Provider Identifier
1235481060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-556
- Practice address
- 850 W Hind Dr
104/108
Honolulu, HI 96821-1855 - Phone
- (808) 373-4787
- Fax
- (808) 373-4787
- NPI assigned
- Oct 3, 2012
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-556 | HI | Primary |
Addresses
Primary practice location
850 W Hind Dr
104/108
Honolulu, HI 96821-1855
Mailing address
46-260 Ahui Nani PL
Kaneohe, HI 96744-4051
Phone (808) 341-3716
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 |
|---|---|---|---|
| SP-556 | HI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Honolulu, HI
- NPI 1790853174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1235481060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-260 AHUI NANI PL",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967444051",
"telephone_number": "808-341-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W HIND DR",
"address_2": "104/108",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211855",
"telephone_number": "808-373-4787",
"fax_number": "808-373-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIRATHER",
"first_name": "RANDY",
"middle_name": "R",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-556",
"primary": true
}
],
"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 Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.