Individual provider Active NPI

Tara Lynn Tannenholz, RPT

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1285843136
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2468 Issued in HI
Practice address
45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244
Phone
(808) 235-7999
Fax
(808) 235-7992
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2468 HI Primary

Addresses

Primary practice location

45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244

Mailing address

PO Box 283281
Honolulu, HI 96828-3281
Phone (808) 348-7747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000798 HI Practitioner - Physical Therapist in Private Practice 3072605815 Reassigns benefits to 1 organization

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
Oahu Physio Therapy IncGroup PAC ID 9234230301, 7 clinicians

Practice addresses (Care Compare)

850 W Hind Dr
Suite 201
Honolulu, HI 96821-1845
Phone (808) 377-5605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2468HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oahu Physio Therapy Inc Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Seashore Inc Physical Therapist Past Accepting new patients
Fit Therapy LLC PastSince Nov 10, 2008 Accepting new patients
Zeng Chiropractic Center LLC Past Accepting new patients
THPT, Inc Physical Therapist PastSince Apr 1, 2015 Accepting new patients

Locations

850 W Hind Dr
Ste 201
Honolulu, HI 96821
Phone (808) 377-5605

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1285843136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283281",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968283281",
            "telephone_number": "808-348-7747",
            "fax_number": "808-356-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "SUITE 305",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244",
            "telephone_number": "808-235-7999",
            "fax_number": "808-235-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENHOLZ",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.

Verify at the official NPI Registry.