Individual provider Active NPI

Elizabeth Tanaka, PT, DPT, CERT. MDT

  • Orthopedic Physical Therapist
  • Honolulu, HI
National Provider Identifier
1295806347
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2011 Issued in HI
Practice address
3420 Alohea Ave
Honolulu, HI 96816-2206
Phone
(808) 398-3357
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2011 HI Primary

Addresses

Primary practice location

3420 Alohea Ave
Honolulu, HI 96816-2206

Mailing address

PO Box 240794
Honolulu, HI 96824-0794
Phone (808) 398-3357

Other identifiers 3

IdentifierTypeStateIssuer
9716603OtherHIUHA PIN#
208538OtherHIHEALTH MANAGEMENT NETWORK
00A0233534OtherHIHMSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000347 HI Practitioner - Physical Therapist in Private Practice 6800829904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1188 Bishop St
Suite 3301
Honolulu, HI 96813-3313
Phone (808) 398-3357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011HIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Therapy LLC CurrentSince Nov 10, 2008 Accepting new patients
South Shore Physical Therapy, LLC Past Accepting new patients
Oahu Physio Therapy Inc PastSince Apr 1, 2015 Accepting new patients
Windward Rehabilitation Services, LLC Past Accepting new patients
THPT, Inc Past Accepting new patients
Weiss P.T., Inc. Past Accepting new patients
Therapeutic Associates of Maui, LLC Past Accepting new patients
Therapeutic Associates of Maui, LLC Orthopedic PastSince Sep 1, 2002 Accepting new patients
Zeng Chiropractic Center LLC PastSince Nov 10, 2008 Accepting new patients

Locations

1188 Bishop St
Ste 3301
Honolulu, HI 96813
Phone (808) 398-3357

820 W Hind Dr
Unit 240794
Honolulu, HI 96824

Organizations & group practices 9

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": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1295806347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240794",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968240794",
            "telephone_number": "808-398-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 ALOHEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162206",
            "telephone_number": "808-398-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, CERT. MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA PIN#",
            "identifier": "9716603",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH MANAGEMENT NETWORK",
            "identifier": "208538",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0233534",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 8, 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.