Active NPI
Angie Peters MPT LLC
- Specialist
- Kahului, HI
National Provider Identifier
1275964751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2575
- Legal business name
- ANGIE PETERS MPT LLC
- Practice address
- 135 S Wakea Ave
Unit 112
Kahului, HI 96732-1385 - Phone
- (808) 280-7711
- Fax
- (808) 442-0690
- NPI assigned
- Dec 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Marie Peters, MPT
- Title
- Physical Therapist
- Phone
- (808) 280-7711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2575 | HI | Primary |
Addresses
Primary practice location
135 S Wakea Ave
Unit 112
Kahului, HI 96732-1385
Mailing address
PO Box 790826
Paia, HI 96779-0826
Phone (808) 280-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
135 S Wakea Ave
Ste 113
Kahului, HI 96732
135 S Wakea Ave
Ste 112113
Kahului, HI 96732
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Kahului, HI
- NPI 1093766610
-
- Physical Therapist
- Kahului, HI
- NPI 1063070365
-
- Physical Therapist
- Kahului, HI
- NPI 1013177245
-
- Physical Therapist
- Kahuli, HI
- NPI 1225790140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572480000000",
"number": "1275964751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790826",
"city": "PAIA",
"state": "HI",
"postal_code": "967790826",
"telephone_number": "808-280-7711",
"fax_number": "808-249-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S WAKEA AVE",
"address_2": "UNIT 112",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321385",
"telephone_number": "808-280-7711",
"fax_number": "808-442-0690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGIE PETERS MPT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-09",
"last_updated": "2019-10-31",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "808-280-7711",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "HI",
"license": "2575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.