Courtney Nikolaisen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008903 Issued in WA

Practice address

500 Ala Moana Blvd. Maresca Physical Therapy
BLDG 1 Suite 300
Honolulu, HI 96813

Phone

(253) 278-1297

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Courtney Horwath Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maresca Physical Therapy LLC

  • Physical Therapist
  • Honolulu, HI
  • NPI 1285730291
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1275729279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD. MARESCA PHYSICAL THERAPY",
            "address_2": "BLDG 1 SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-548-0824",
            "fax_number": "808-441-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD. MARESCA PHYSICAL THERAPY",
            "address_2": "BLDG 1 SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "253-278-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLAISEN",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT00008903",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HORWATH",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Niimi, PHARM D
• Kerri Niino, MD
• Nikki Moravec, PSYD, LLC
• Nikki P Inamine MD LLC
• Niko Niko Family Dentistry LLC
• Tanja Nikolic, LMFT
• Neda Nikpoor, M.D.
• Andrew L Niles, MS, CCC-SLP
• Lanakila Niles
• Shellie Ann Niles

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, 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 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.