Martina Chavis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3685 Issued in HI

Practice address

458 Manawai St Unit 1203
Kapolei, HI 96707

Phone

(808) 367-0986

Fax

(808) 356-0939

NPI assigned

Jun 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Martina Polakova Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laulima Physical Therapy and Rehabilitation LLCGroup PAC ID 5193009827, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Laulima Physical Therapy & Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1215395223

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Laulima Physical Therapy & Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1992150825
  NPD
• Elam Sports, Inc.

  • Physical Therapist
  • Pearl City, HI
  • NPI 1770512048
  NPD (past)
• Warfighter'S Clinic

  • Pain Medicine Physician
  • Kapolei, HI
  • NPI 1003357765
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1295096592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MANAWAI ST UNIT 1203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-356-0939",
            "fax_number": "808-356-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MANAWAI ST UNIT 1203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-367-0986",
            "fax_number": "808-356-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "MARTINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "POLAKOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn M Chang, D.M.D.
• Janice Nhitsim Chang
• Jenna Chang
• William Chu Fook Chang
• Elizabeth Chau
• David Hao Chen, M.D., PH.D.
• Nancy Chen, MD
• Raymond Jue Shi Cheng
• Gloria C Cheong-Uyesugi
• Shannon R. Chew, OTR

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.