Active NPI
Michelle Pacilio, MPT
- Physical Therapist
- Kalaheo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- HIPT2283
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A0262079 | Other | HI | HMSA |
| 101950 | Other | HI | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| HIPT2283 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohana Sports Medicine Kapaa LLC | Current | Accepting new patients | |
| Kauai Independent Rehabilitation Associates, LLC | Physical Therapist | Current | 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.
-
dba Ohana Sports Medicine
- Physical Therapist
- Kalaheo, HI
- NPI 1508959339
-
- Physical Therapy Clinic/Center
- Kapa'a, HI
- NPI 1386117927
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
- John Christian Mills, MD
- Alyssa Murata, M.D.
- Brooklyn McClain Murphy, RN, IBCLC
- Victoria Navarro Oana, LCSW, LICSW, SEP
- Ohana Mobile Health LLC (Ohana Health and Wellness)
- Maria Rose Parreno X, PSY.D.
- Jesse Roger Pasag, P.T., D.P.T.
- Janice M Pascua, O.T.
- Jazzlynn-Grace Kawailiula Pascua
- Mary Linda Paul, M.D.
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.