NPIMap

Organization Active NPI

Wahiawa Rehab Services Inc

  • Physical Therapist
  • Wahiawa, HI
National Provider Identifier
1306919964
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WAHIAWA REHAB SERVICES INC
Practice address
735 California Ave
Wahiawa, HI 96786-1935
Phone
(808) 628-9988
Fax
(808) 621-3388
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Mr. Thomas Hie Lar TanNPI 1114089497
Title
President
Phone
(808) 676-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

735 California Ave
Wahiawa, HI 96786-1935

Mailing address

735 California Ave
Wahiawa, HI 96786-1935
Phone (808) 628-9988

Other names 1

  • First Physical & Functional Rehab at Wahiawa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001430 HI Part B Supplier - Clinic/Group Practice 5496646283 Receives reassigned benefits from 11 practitioners
Practice locations: Wahiawa, HI

National Provider Directory

National Provider Directory

Locations

735 California Ave
Wahiawa, HI 96786
Phone (808) 628-9988

94-689 Farrington Hwy
Waipahu, HI 96797
Phone (808) 618-6878

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1306919964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CALIFORNIA AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861935",
            "telephone_number": "808-628-9988",
            "fax_number": "808-621-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CALIFORNIA AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861935",
            "telephone_number": "808-628-9988",
            "fax_number": "808-621-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HIE LAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-676-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Physical & Functional Rehab at Wahiawa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Physical & Functional Rehab at Wahiawa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.