NPIMap

Organization Active NPI

Waipahu Physical Therapy, Inc

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1255410650
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WAIPAHU PHYSICAL THERAPY, INC
Practice address
94-370 Pupupani St
Waipahu, HI 96797-2657
Phone
(808) 676-7700
Fax
(808) 676-7708
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Aileen BachillerNPI 1356887350
Title
Office Manager
Phone
(808) 676-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

94-370 Pupupani St
Waipahu, HI 96797-2657

Mailing address

94-370 Pupupani St
Waipahu, HI 96797-2657
Phone (808) 676-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319001572 HI Part B Supplier - Clinic/Group Practice 5597656694 Receives reassigned benefits from 11 practitioners
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1255410650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-370 PUPUPANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972657",
            "telephone_number": "808-676-7700",
            "fax_number": "808-676-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-370 PUPUPANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972657",
            "telephone_number": "808-676-7700",
            "fax_number": "808-676-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIPAHU PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "BACHILLER",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-676-7700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.