Molokai Physical Therapy & Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOLOKAI PHYSICAL THERAPY & REHABILITATION LLC

Practice address

109 Ala Malama St Unit a
Kaunakakai, HI 96748

Phone

(808) 862-6787

Fax

(808) 762-1318

NPI assigned

Jun 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Genevieve F Correa, PT, DPTNPI 1427491448

Title

Physical Therapist/Owner

Phone

(808) 650-2339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 1

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

• Genevieve F Correa, PT, DPT

  • Physical Therapist
  • Kaunakakai, HI
  • NPI 1427491448

  HI, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1265056154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967480398",
            "telephone_number": "808-862-6787",
            "fax_number": "808-762-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ALA MALAMA ST UNIT A",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-862-6787",
            "fax_number": "808-762-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Uluniu St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342534",
            "country_code": "US",
            "telephone_number": "808-862-6787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOLOKAI PHYSICAL THERAPY & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "808-650-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molokai General Hospital
• Molokai General Hospital
• Molokai Mental Health, LLC
• Molokai Ohana Health Care, Inc.
• Molokai Ohana Health Care, Inc.
• Cristin Moore, DNP, FNP
• Brigid Mulloy, CNM
• Lisa Mundon, LMHC
• NA Pu Uwai
• NA Pu'Uwai

• All providers in Kaunakakai, HI
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.