Lauren Petrisin, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

863 Halekauwila St
Honolulu, HI 96813-5325

Phone

(808) 597-1555

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1245908227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 QUEEN ST APT 4002",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135190",
            "telephone_number": "214-293-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 HALEKAUWILA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135325",
            "telephone_number": "808-597-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRISIN",
        "first_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Bartolome Peterson, CSCD CCC-SLP
• Colin Petko, M.D.
• Maria Petkus
• Judy D Petretee, PT
• Mara M M Petrie, DPT
• Sunshine Petropoullakis, RBT
• Helen Petrovitch, MD
• David B Petruska, MD
• Venessa Petteway, LMT
• Lauren Pettiford

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.