Individual provider Active NPI

Michelle Pacilio, MPT

  • Physical Therapist
  • Kalaheo, HI
National Provider Identifier
1275639221
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
HIPT2283 Issued in HI
Practice address
2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311
Phone
(808) 335-5808
Fax
(808) 335-5657
NPI assigned
Sep 16, 2006
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X HIPT2283 HI Primary

Addresses

Primary practice location

2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311

Mailing address

2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311
Phone (808) 335-5808

Other practice location 1

4-901 Kuhio Hwy Ste A
Kapaa, HI 96746-1549
Phone (808) 826-6000

Other identifiers 2

IdentifierTypeStateIssuer
00A0262079OtherHIHMSA
101950OtherHIMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061209000024 HI Practitioner - Physical Therapist in Private Practice 7911906557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kauai Independent Rehabilitation Associates LLCGroup PAC ID 7315961596, 5 clinicians

Practice addresses (Care Compare)

2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311
Phone (808) 335-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HIPT2283HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohana Sports Medicine Kapaa LLC CurrentSince Jan 1, 2020 Accepting new patients
Kauai Independent Rehabilitation Associates, LLC Physical Therapist CurrentSince Oct 2, 2006 Accepting new patients

Locations

4-901 Kuhio Hwy
Ste A
Kapaa, HI 96746
Phone (808) 335-5808

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1275639221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2488 KAUMUALII HWY",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418311",
            "telephone_number": "808-335-5808",
            "fax_number": "808-335-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2488 KAUMUALII HWY",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418311",
            "telephone_number": "808-335-5808",
            "fax_number": "808-335-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4-901 Kuhio Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Kapaa",
            "state": "HI",
            "postal_code": "967461549",
            "country_code": "US",
            "telephone_number": "808-826-6000",
            "fax_number": "844-965-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACILIO",
        "first_name": "MICHELLE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "HIPT2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0262079",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "101950",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.