Eric Edward Ersson, PT PHYSICAL THERAPIS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5683 Issued in HI

Practice address

Imua Physical Therapy
40 Kupaoa Street B-201
Makawao, HI 96753

Phone

(808) 298-4933

Fax

(808) 298-4933

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Shore Physical Therapy & Sportsmedicine, Inc

  dba Imua Physical Therapy

  • Physical Therapy Clinic/Center
  • Kihei, HI
  • NPI 1760435218
  Medicare reassignment NPD
• South Shore Physical Therapy & Sportsmedicine, Inc

  • Physical Therapist
  • Kahului, HI
  • NPI 1396601647
  NPD
• First Choice Health Groupllc

  • Chiropractor
  • Brick, NJ
  • NPI 1629165782
  NPD (past)
• Monmouth Medical Association PC

  • Chiropractor
  • Eatontown, NJ
  • NPI 1417018292

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1255495180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-298-4933",
            "fax_number": "732-223-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IMUA PHYSICAL THERAPY",
            "address_2": "40 KUPAOA STREET B-201",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-298-4933",
            "fax_number": "808-298-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSSON",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT PHYSICAL THERAPIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA04764",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Marlena Farm - Maui Psychology
• Dana Duncan
• Nathan Ehrlich, N.D.
• Elite Physical Therapy and Sports
• Epiana Day Spa, Inc.
• Holly Elizabeth Espinueva, M.A., MFT
• Darren Eugenio
• Blossom Fabregas
• Dawn Nicole Fechtig, L.AC., L.M.T.
• Ema Elizabeth Fernandes, L.AC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.