NPIMap

Organization Active NPI

Wala-Au Therapy LLC

  • Hearing and Speech Clinic/Center
  • Hilo, HI
National Provider Identifier
1306468806
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
WALA-AU THERAPY LLC
Practice address
2148 Awapuhi Street
Hilo, HI 96720-5290
Phone
(808) 365-8128
Fax
(808) 961-6383
NPI assigned
May 7, 2020
Last updated
May 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Authorized official

Name
Sydney K Zoll, MS CCC-SLP
Title
Owner
Phone
(808) 365-8128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

2148 Awapuhi Street
Hilo, HI 96720-5290

Mailing address

2148 Awapuhi Street
Hilo, HI 96720-5290
Phone (808) 365-8128

Other identifiers 1

IdentifierTypeStateIssuer
000133MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218000898 HI Part B Supplier - Clinic/Group Practice 9335566413 Receives reassigned benefits from 7 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

32 Kinoole St
Ste 110
Hilo, HI 96720
Phone (808) 365-8128

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651363200000",
    "number": "1306468806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 AWAPUHI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205290",
            "telephone_number": "808-365-8128",
            "fax_number": "808-961-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 AWAPUHI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205290",
            "telephone_number": "808-365-8128",
            "fax_number": "808-961-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALA-AU THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "ZOLL",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-365-8128",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000133",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.