Individual provider Active NPI

Jeffrey Szozda II, PT

  • Orthopedic Physical Therapist
  • Kihei, HI
National Provider Identifier
1265296222
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-5874 Issued in HI
Practice address
330 Ohukai Rd Ste 103
Kihei, HI 96753-7058
Phone
(808) 385-4867
NPI assigned
Feb 9, 2024
Reactivated
Feb 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT-5874 HI Primary

Addresses

Primary practice location

330 Ohukai Rd Ste 103
Kihei, HI 96753-7058

Mailing address

PO Box 2607
Wailuku, HI 96793-7607
Phone (586) 246-7937

Other practice location 1

1816 Mill St Ste 104
Wailuku, HI 96793-1283
Phone (808) 385-4867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000888 HI Practitioner - Physical Therapist in Private Practice 4284075268 Practice locations: Kihei, HI

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Ohukai Rd
Suite 103
Kihei, HI 96753-7058
Phone (808) 385-4867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Therapy and Wellness LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

330 Ohukai Rd
Ste 103
Kihei, HI 96753
Phone (808) 385-4867

1816 Mill St
Ste 104
Wailuku, HI 96793
Phone (808) 385-4867

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.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1265296222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2607",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967937607",
            "telephone_number": "586-246-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OHUKAI RD STE 103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537058",
            "telephone_number": "808-385-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 Mill St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931283",
            "country_code": "US",
            "telephone_number": "808-385-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZOZDA",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "deactivation_date": "2024-02-13",
        "reactivation_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT-5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.