Organization Active NPI

Kalihi Rehab Center, LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1316018443
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
485,933,976 Issued in HI
Legal business name
KALIHI REHAB CENTER, LLC
Practice address
1427 N King St
Honolulu, HI 96817-4226
Phone
(808) 847-7440
Fax
(808) 847-7409
NPI assigned
Nov 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Ms. Nora G Tan, P.T.NPI 1245356203
Title
Owner
Phone
(808) 847-7440

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 485,933,976 HI Primary

Addresses

Primary practice location

1427 N King St
Honolulu, HI 96817-4226

Mailing address

1427 N King St
Honolulu, HI 96817-4226
Phone (808) 847-7440

Other identifiers 15

IdentifierTypeStateIssuer
H101437MedicaidHI
MAE-2024OtherHIMASSAGE ESTABLISHMENT
P.T. LICENSE# 485OtherHINORA TAN
P.T. LINCENSE# 976OtherHINORMA DOMINGO-DEXTER
0000250944OtherHITRICARE NORA TAN
P.T. LICENSE# 933OtherHILIN FAR LEE
520008OtherHIHMA NORA TAN
6852610OtherHIUHA NORA TAN
56434501MedicaidHI
0000250944OtherIDHMSA NORA TAN
4933610OtherHIUHA LIN FAR LEE
MAT# 7487OtherHISHERYL MAEDA MASSAGE
0000259564OtherHIHMSA LIN FAR LEE
MAT -6653OtherHIMARIA THEA VISAYA
MAT-8529OtherHIMATILDE ABIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000273 HI Part B Supplier - Clinic/Group Practice 4385696145 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1427 N King St
Honolulu, HI 96817
Phone (808) 847-7440

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1316018443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174226",
            "telephone_number": "808-847-7440",
            "fax_number": "808-847-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174226",
            "telephone_number": "808-847-7440",
            "fax_number": "808-847-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIHI REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-847-7440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "485,933,976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H101437",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE ESTABLISHMENT",
            "identifier": "MAE-2024",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORA TAN",
            "identifier": "P.T. LICENSE# 485",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORMA DOMINGO-DEXTER",
            "identifier": "P.T. LINCENSE# 976",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORA TAN",
            "identifier": "0000250944",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIN FAR LEE",
            "identifier": "P.T. LICENSE#  933",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA NORA TAN",
            "identifier": "520008",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA NORA TAN",
            "identifier": "6852610",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56434501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA NORA TAN",
            "identifier": "0000250944",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA LIN FAR LEE",
            "identifier": "4933610",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHERYL MAEDA MASSAGE",
            "identifier": "MAT# 7487",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA LIN FAR LEE",
            "identifier": "0000259564",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARIA THEA VISAYA",
            "identifier": "MAT -6653",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATILDE  ABIDA",
            "identifier": "MAT-8529",
            "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 Dec 18, 2014; 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.