NPIMap

Individual provider Active NPI

Lisa M Hoogasian-Klein, PT,STS

  • Orthopedic Physical Therapist
  • Lahaina, HI
National Provider Identifier
1285718940
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT1763 Issued in HI
Practice address
4310 Lower Honoapiilani Rd
Suite 110
Lahaina, HI 96761-9246
Phone
(808) 669-0078
Fax
(808) 866-9017
NPI assigned
Oct 25, 2006
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT#1988 ME
Orthopedic Physical Therapist 2251X0800X PT1763 HI Primary

Addresses

Primary practice location

4310 Lower Honoapiilani Rd
Suite 110
Lahaina, HI 96761-9246

Mailing address

4310 Lower Honoapiilani Rd
Suite 110
Lahaina, HI 96761-9246
Phone (808) 669-0078

Other identifiers 1

IdentifierTypeStateIssuer
49392407MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PT#1988MEMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates of Maui, LLC Orthopedic PastSince Sep 1, 2002 Accepting new patients
South Shore Physical Therapy & Sportsmedicine, Inc Past Accepting new patients
Therapeutic Associates of Maui, LLC Past Accepting new patients

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1285718940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LOWER HONOAPIILANI RD",
            "address_2": "SUITE 110",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619246",
            "telephone_number": "808-669-0078",
            "fax_number": "808-669-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LOWER HONOAPIILANI RD",
            "address_2": "SUITE 110",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619246",
            "telephone_number": "808-669-0078",
            "fax_number": "808-866-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGASIAN-KLEIN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT,STS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "PT#1988",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49392407",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.