Individual provider Active NPI

William Harold Adkins, MPT

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1306063458
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27416 Issued in CA
Practice address
75-165 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone
(808) 329-0591
Fax
(808) 329-2066
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-4547 HI
Physical Therapist 225100000X PT 27416 CA Primary

Addresses

Primary practice location

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722

Mailing address

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone (808) 329-0591

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherCAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000355 HI Practitioner - Physical Therapist in Private Practice 2163575051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 27416CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaiian Rehabilitation Services Inc Physical Therapist CurrentSince Aug 3, 2020 Accepting new patients

Locations

75-165 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-0591

75-165 Hualalai Rd
Ste 100
Kailua Kona, HI 96740
Phone (808) 329-0591

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1306063458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403722",
            "telephone_number": "808-329-0591",
            "fax_number": "808-329-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403722",
            "telephone_number": "808-329-0591",
            "fax_number": "808-329-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "WILLIAM",
        "middle_name": "HAROLD",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4547",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.