NPIMap

Organization Active NPI

Maresca Physical Therapy LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1285730291
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT - 1588 Issued in HI
Legal business name
MARESCA PHYSICAL THERAPY LLC
Practice address
500 Ala Moana Blvd
Suite 1-302
Honolulu, HI 96813-4920
Phone
(808) 284-0824
Fax
(808) 739-0824
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Mr. Michael Kuhio Maresca, MPT, CERT. MDTNPI 1992997266
Title
President
Phone
(808) 284-0824

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT - 1588 HI Primary

Addresses

Primary practice location

500 Ala Moana Blvd
Suite 1-302
Honolulu, HI 96813-4920

Mailing address

2258 Palolo Ave
Honolulu, HI 96816-3122
Phone (808) 284-0824

Other names 1

  • Maresca Therapy On Call LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000878 HI Part B Supplier - Clinic/Group Practice 6406933449 Receives reassigned benefits from 4 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

500 Ala Moana Blvd
#I302
Honolulu, HI 96813
Phone (808) 284-0824

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1285730291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 PALOLO AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163122",
            "telephone_number": "808-284-0824",
            "fax_number": "808-739-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "SUITE 1-302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-284-0824",
            "fax_number": "808-739-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARESCA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "MARESCA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KUHIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-284-0824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, CERT. MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT - 1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maresca Therapy On Call LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.

Verify at the official NPI Registry.